Kaitlin Jones LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

KAITLIN JONES LLC

Doing business as

Moonrise Therapy and Wellness

Practice address

375 E Horsetooth Rd BLDG 4201
Fort Collins, CO 80525-3198

Phone

(970) 999-0440

NPI assigned

Dec 27, 2023

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaitlin Douglas, LMFTNPI 1720516230

Title

Co-Owner and Clinical Director

Phone

(970) 613-1315

Specialties & licenses 4

Addresses

Other names 1

• Moonrise Therapy and Wellness Doing business as

Locations

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.

• Kaitlin Douglas, MS, LMFT

  • Marriage & Family Therapist
  • Fort Collins, CO
  • NPI 1720516230
  NPD Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1942079363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD BLDG 4201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253198",
            "telephone_number": "970-999-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD BLDG 4201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253198",
            "telephone_number": "970-999-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAITLIN JONES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "CO-OWNER AND CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "970-613-1315",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moonrise Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Health Plan of Colorado (Kaiser Permanente Fort Collins Medical Offices)
• Alexandria Eden Kaiser
• Brian Lee Kaiser, D.O.
• Dale C Kaiser, MD
• Jennifer Kaiser
• Kala Nutrition, LLC
• Andrew H Kalajian, M.D.
• Heidi Kalak, SWP
• Amir Kalani, MD PHD
• Kaleidoscope Wellness LTD

• Marriage & Family Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.