Luna Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

165500 Issued in CO

Legal business name

LUNA COUNSELING, LLC

Practice address

191 East Agate Ave.
Granby, CO 80446

Phone

(970) 531-6173

Fax

(970) 887-2293

NPI assigned

Jun 15, 2010

Last updated

Jan 7, 2017By 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

Mr. Andrew ThomassonNPI 1407175037

Title

Program Director

Phone

(970) 531-6173

Specialties & licenses 2

Addresses

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.

• Andrew Thomasson, LCSW, CACII

  • Clinical Social Worker
  • Granby, CO
  • NPI 1407175037
  Authorized official Same address or phone

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483747200000",
    "number": "1982925897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 964",
            "city": "GRAND LAKE",
            "state": "CO",
            "postal_code": "804470964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 EAST AGATE AVE.",
            "city": "GRANBY",
            "state": "CO",
            "postal_code": "80446",
            "telephone_number": "970-531-6173",
            "fax_number": "970-887-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2017-01-07",
        "status": "A",
        "authorized_official_last_name": "THOMASSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "970-531-6173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "1655-00",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "165500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cherie S Lowenberg, MSW
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• Stacy Gayle York Nation, LCSW

• Community/Behavioral Health Agency in Granby, CO
• Providers in Granby, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2017; 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.