Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Radiant Moon, PLLC

Organization Mental Health Counselor · NPI 1811651938

Radiant Moon, PLLC is a Mental Health Counselor in Midvale, Utah. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

940 E South Union Ave
Midvale, UT 84047-2302
Phone: (385) 346-0031
Fax: (385) 446-0973
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Art Therapist Taxonomy 221700000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1811651938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathryn Wingard — Owner/Clinical Director · (385) 346-0031
Other names Kathryn Wingard Creative Counseling; Kathryn Wingard Creative Counseling; Radiant Mind Wellness
NPI enumeratedOctober 25, 2021
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing address5622 S Walden Glen Dr, Salt Lake City, UT 84123-7925

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