Whole Moon Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WHOLE MOON THERAPY

Practice address

77-6537 Naniloa Dr
Kailua Kona, HI 96740-2425

Phone

(808) 895-9967

NPI assigned

Jan 17, 2025

Last updated

Jan 17, 2025By 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

Lindsay Roth, LCSWNPI 1457902876

Title

Principal

Phone

(808) 895-9967

Specialties & licenses 1

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.

• Lindsay Roth

  • Clinical Social Worker
  • Kealakekua, HI
  • NPI 1457902876
  NPD Authorized official

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1992516926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77-6537 NANILOA DR",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402425",
            "telephone_number": "808-895-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77-6537 NANILOA DR",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402425",
            "telephone_number": "808-895-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE MOON THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "808-895-9967",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Westra, MS, LMHC, LLC
• Whalesong Wellness Corporation
• Whidbey Island Public Hospital District
• Isaac White Jr., MSW
• Whole Foundation
• Andrea Wiley, L.AC.
• Jason Wiley, LAC
• Lori L Wilhelm, MD
• Harold Andrew Williams, M.D.
• Quinn Williams, DPT

• Clinical Social Worker in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.