KATHRYN WINGARD CREATIVE COUNSELING
NPI 1811651938
Counselor - Mental Health in Midvale, UT

Active since October 25, 2021
940 E SOUTH UNION AVE, MIDVALE, UT 84047(385) 346-0031(385) 446-0973 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2023, Nov 17, 2021 (2 updates tracked since 2021).

About Kathryn Wingard Creative Counseling NPPES

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

KATHRYN WINGARD CREATIVE COUNSELING (NPI 1811651938) is a healthcare organization registered as a mental health in Midvale, Utah and active in the NPI registry since October 2021. The organization lists Kathryn Wingard, Owner/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1811651938
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameRADIANT MOON, PLLC
Location Address940 E SOUTH UNION AVEMidvale, UT 84047-2302
Mailing Address5622 S Walden Glen DrSalt Lake City, UT 84123-7925 · (385) 346-0031 · Fax (385) 446-0973
Fax(385) 446-0973
Organization SubpartNo
Authorized OfficialKathryn WingardOwner/clinical Director · (385) 346-0031
Enumeration DateOctober 25, 2021
Last NPPES UpdateDecember 19, 20232 updates tracked since enumeration
NPPES CertifiedDecember 19, 2023
NPI 1811651938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedArt TherapistTaxonomy 221700000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
940 E SOUTH UNION AVE, Midvale, UT 84047

Other Names 2

Doing Business AsKathryn Wingard Creative Counseling
Doing Business AsRadiant Mind Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Student in an Organized Health Care Education/Training Program
940 E SOUTH UNION AVE
MIDVALE, UT 84047
Social Worker (Clinical)
940 E SOUTH UNION AVE
MIDVALE, UT 84047
Social Worker (Clinical)
940 E SOUTH UNION AVE
MIDVALE, UT 84047
Counselor (Mental Health)
940 E SOUTH UNION AVE
MIDVALE, UT 84047

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 Radiant Moon, PLLC's NPI number?

The NPI number for Radiant Moon, PLLC is 1811651938. It was assigned to this organization in the NPPES registry on October 25, 2021. The provider is doing business as Kathryn Wingard Creative Counseling and Radiant Mind Wellness.

Where is Radiant Moon, PLLC located?

Radiant Moon, PLLC is located at 940 E South Union Ave, Midvale, UT 84047. The listed phone number is (385) 346-0031.

What is Radiant Moon, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Radiant Moon, PLLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Radiant Moon, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Radiant Moon, PLLC was last updated on December 19, 2023. 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.