Silver Moon Mental Health Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SILVER MOON MENTAL HEALTH THERAPY LLC

Practice address

1901 N Hemmer Rd # 203
Palmer, AK 99645-9690

Phone

(855) 914-5621

NPI assigned

Jul 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edi Lane Griggs Halstead, LPCNPI 1346909546

Title

Owner

Phone

(855) 914-5621

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edi Lane Griggs Halstead

  • Mental Health Counselor
  • Palmer, AK
  • NPI 1346909546
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1902530843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 S BODENBURG LOOP",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457617",
            "telephone_number": "855-914-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N HEMMER RD # 203",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459690",
            "telephone_number": "855-914-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER MOON MENTAL HEALTH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "GRIGGS HALSTEAD",
        "authorized_official_first_name": "EDI",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-914-5621",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Simone Sherer, RBT
• Elana E Davis Shiflea, M.S., L.P.A.
• John Shiplette II
• Breanne Nicole Shults, CDM
• Melissa Siewert, COTA/L
• Simar Physical Therapy Services, LLC
• Jeff A Simerville, MD
• Beatrice Simpson, LPC
• John Sims
• Alesya Sinyawski, MSW

• Community/Behavioral Health Agency in Palmer, AK
• Providers in Palmer, AK by specialty
• Community/Behavioral Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.