Active NPI
Moxy Up
- Community/Behavioral Health Agency
- Gardnerville, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MOXY UP
- Practice address
- 789 Tillman LN SPC C
Gardnerville, NV 89460-8201 - Phone
- (775) 790-7022
- NPI assigned
- Jan 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Coleen Lawrence, MSSL, EJD
- Title
- Executive Director
- Phone
- (775) 790-7022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
789 Tillman LN SPC C
Gardnerville, NV 89460-8201
Mailing address
PO Box 6322
Gardnerville, NV 89460-4605
Phone (775) 790-7022
National Provider Directory
National Provider Directory- Tax ID family
- Moxy Up
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Hawthorne, NV
- NPI 1750232823
Locations
789 Tillman Ln
Spc C
Gardnerville, NV 89460
Phone (775) 790-7022
1616 US Highway 395 N
Minden, NV 89423
Phone (775) 790-7022
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Mental Health Counselor
- Hawthorne, NV
- NPI 1750232823
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Counselor
- Minden, NV
- NPI 1346954567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770076800000",
"number": "1902510134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6322",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894604605",
"telephone_number": "775-790-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 TILLMAN LN SPC C",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894608201",
"telephone_number": "775-790-7022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOXY UP",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-11",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "COLEEN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "775-790-7022",
"authorized_official_credential": "MSSL, EJD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardnerville, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.