FENWOOD LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC
NPI 1114770989
Clinic/Center - Mental Health (Including Community Mental Health Center) in Rocklin, CA

Q: What is Fenwood Licensed Professional Clinical Counselor, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since April 10, 2024

5800 STANFORD RANCH RD STE 610, ROCKLIN, CA 95765(916) 251-9474 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fenwood Licensed Professional Clinical Counselor, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FENWOOD LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC (NPI 1114770989) is a healthcare organization registered as a mental health (including community mental health center) in Rocklin, California and active in the NPI registry since April 2024. The organization lists Lindsey Buck-moyer, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1114770989

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameFENWOOD LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC

Location Address5800 STANFORD RANCH RD STE 610Rocklin, CA 95765-4387

Mailing Address8690 Sierra College Blvd Ste 160-140Roseville, CA 95661-5961 · (916) 251-9474

Phone(916) 251-9474

Organization SubpartNo

Authorized OfficialLindsey Buck-moyerOwner/ceo · (916) 251-9474

Enumeration DateApril 10, 2024

NPPES CertifiedApril 10, 2024

✔ NPI 1114770989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

5800 STANFORD RANCH RD STE 610, Rocklin, CA 95765

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LINDSEY BUCK-MOYER

Counselor (Professional)

5800 STANFORD RANCH RD STE 610
ROCKLIN, CA 95765

Placer County (916) 251-9474

CARMEN ARLEEN PAGETT CMT

Mechanotherapist

5800 STANFORD RANCH RD STE 610
ROCKLIN, CA 95765

Placer County (916) 257-3825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fenwood Licensed Professional Clinical Counselor, PC's NPI number?

The NPI number for Fenwood Licensed Professional Clinical Counselor, PC is 1114770989. It was assigned to this organization in the NPPES registry on April 10, 2024.

Where is Fenwood Licensed Professional Clinical Counselor, PC located?

Fenwood Licensed Professional Clinical Counselor, PC is located at 5800 Stanford Ranch Rd Ste 610, Rocklin, CA 95765. The listed phone number is (916) 251-9474.

What is Fenwood Licensed Professional Clinical Counselor, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Fenwood Licensed Professional Clinical Counselor, PC was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.