Active NPI
Foundations for Living Whole, LLC
- Mental Health Counselor
- Sheridan, WY
National Provider Identifier
1902654254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FOUNDATIONS FOR LIVING WHOLE, LLC
- Doing business as
- Foundations for Living Whole, LLC
- Practice address
- 172 N Main St Ste 1a
Sheridan, WY 82801-3922 - Phone
- (307) 763-2830
- NPI assigned
- May 10, 2024
- Last updated
- May 10, 2024
- 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
- Katherine Elaine Christopherson, MA, LPC
- Title
- Owner/Therapist
- Phone
- (307) 763-2830
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
172 N Main St Ste 1a
Sheridan, WY 82801-3922
Mailing address
830 S Thurmond St
Sheridan, WY 82801-5059
Phone (307) 763-2830
Other practice location 1
382 W Stanley Ave
Queen Creek, AZ 85140-6669
Phone (480) 582-4604
Other names 1
- Foundations for Living Whole, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Queen Creek, AZ
- NPI 1396059531
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715299200000",
"number": "1902654254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 S THURMOND ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015059",
"telephone_number": "307-763-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 N MAIN ST STE 1A",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828013922",
"telephone_number": "307-763-2830"
}
],
"practiceLocations": [
{
"address_1": "382 W Stanley Ave",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851406669",
"country_code": "US",
"telephone_number": "480-582-4604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FOUNDATIONS FOR LIVING WHOLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-10",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A",
"authorized_official_last_name": "CHRISTOPHERSON",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "307-763-2830",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Foundations for Living Whole, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.