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MOVING MOSAIC THERAPY & COUNSELING, PLLC
NPI 1093474652
Counselor - Professional in North Riverside, IL

Active since December 10, 2021
2232 S 18TH AVE, NORTH RIVERSIDE, IL 60546(773) 373-9682(773) 312-4876 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2023, Aug 10, 2023, Jan 2, 2023 and 4 more (7 updates tracked since 2021).

About Moving Mosaic Therapy & Counseling, Pllc NPPES

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

MOVING MOSAIC THERAPY & COUNSELING, PLLC (NPI 1093474652) is a healthcare organization registered as a professional in North Riverside, Illinois and active in the NPI registry since December 2021. The organization maintains 2 additional practice locations and lists Katie Marie Dominguez, Co-founder/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1093474652
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMOVING MOSAIC THERAPY & COUNSELING, PLLC
Location Address2232 S 18TH AVENorth Riverside, IL 60546-1014
Mailing Address2232 S 18th AveNorth Riverside, IL 60546-1014 · (773) 373-9682 · Fax (773) 312-4876
Phone(773) 373-9682
Fax(773) 312-4876
Organization SubpartNo
Authorized OfficialKatie Marie DominguezCo-founder/psychotherapist · (773) 373-9682
Enumeration DateDecember 10, 2021
Last NPPES UpdateOctober 2, 20237 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1093474652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedDance TherapistTaxonomy 225600000X
2232 S 18TH AVE, North Riverside, IL 60546
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Secondary Practice Locations 2

Location 17639 N Greenview Ave Apt 3WChicago, IL 60626-1291 · Phone (773) 373-9682
Location 21340 W Granville Ave Apt 1EChicago, IL 60660-1920 · Phone (773) 234-1967 · Fax (773) 312-4876

Other Identifiers 4

Other6839423IL · Aetna Ppo Outpatient Provider
Other1407515919IL · Npi
Other1447804869IL · Nppes
Other1518427731IL · Npi

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

Other Providers at the Same Location NPPES

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

CAROLINA ARBOLEDA
Psychologist (Clinical)
2232 S 18TH AVE
NORTH RIVERSIDE, IL 60546
Cook County (773) 217-8759

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 Moving Mosaic Therapy & Counseling, PLLC's NPI number?

The NPI number for Moving Mosaic Therapy & Counseling, PLLC is 1093474652. It was assigned to this organization in the NPPES registry on December 10, 2021.

Where is Moving Mosaic Therapy & Counseling, PLLC located?

Moving Mosaic Therapy & Counseling, PLLC is located at 2232 S 18th Ave, North Riverside, IL 60546. The listed phone number is (773) 373-9682.

What is Moving Mosaic Therapy & Counseling, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Moving Mosaic Therapy & Counseling, PLLC was last updated on October 2, 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.