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MS. KENNON WHITING MOON
NPI 1003651415
Counselor in Chicago, IL

Active since June 27, 2024
1925 N CLYBOURN AVE STE 300, CHICAGO, IL 60614(773) 697-8839 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kennon Whiting Moon NPPES

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

MS. KENNON WHITING MOON (NPI 1003651415) is an individual counselor in Chicago, Illinois and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1003651415
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. KENNON WHITING MOON
Location Address1925 N CLYBOURN AVE STE 300Chicago, IL 60614-7395
Mailing Address321 S Sangamon St Unit 401Chicago, IL 60607-3623 · (703) 217-4466
Phone(773) 697-8839
Sole ProprietorNo
Enumeration DateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1003651415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1925 N CLYBOURN AVE STE 300, Chicago, IL 60614
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Other Providers at the Same Location NPPES 17

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

CAROLINE BLISS ADELMAN PHD
Psychologist (Clinical)
1925 N CLYBOURN AVE STE 300
CHICAGO, IL 60614
Cook County (773) 697-8839
JULIA J ILECKI
Counselor (Professional)
1925 N CLYBOURN AVE STE 300
CHICAGO, IL 60614
Cook County (773) 697-8839
KELLI CRISPO
Counselor (Mental Health)
1925 N CLYBOURN AVE STE 300
CHICAGO, IL 60614
Cook County (773) 697-8839
MACKENZIE LEE CONNER
Counselor (Mental Health)
1925 N CLYBOURN AVE STE 300
CHICAGO, IL 60614
Cook County (773) 697-8839
CHICAGO PSYCHOTHERAPY, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1925 N CLYBOURN AVE STE 300
CHICAGO, IL 60614
Cook County (773) 697-8839
MADISON BROOKE SOKOLIK INTERN
Counselor (Mental Health)
1925 N CLYBOURN AVE STE 300
CHICAGO, IL 60614
Cook County (773) 697-8839
JACQUELINE MITZNER B.A.
Student in an Organized Health Care Education/Training Program
1925 N CLYBOURN AVE STE 300
CHICAGO, IL 60614
Cook County (773) 697-8839
ISABELA MARIA GONZALEZ-RUBIO
Counselor (Mental Health)
1925 N CLYBOURN AVE STE 300
CHICAGO, IL 60614
Cook County (857) 636-8970

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 Kennon Moon's NPI number?

The NPI number for Kennon Moon is 1003651415. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Where is Kennon Moon located?

Kennon Moon practices at 1925 N Clybourn Ave Ste 300, Chicago, IL 60614. The listed phone number is (773) 697-8839.

What is Kennon Moon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kennon Moon was last updated on June 27, 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.