BLUE MOON SENIOR COUNSELING
NPI 1205129186
Social Worker - Clinical in Plainfield, IL

Q: What is Blue Moon Senior Counseling's NPI number?

The NPI number for Blue Moon Senior Counseling is 1205129186. It was assigned to this organization in the NPPES registry on May 25, 2011.

Q: What is Blue Moon Senior Counseling's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 25, 2011

10204 BODE ST STE B, PLAINFIELD, IL 60585(855) 241-7160(954) 324-8354 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2021, Sep 20, 2019 (2 updates tracked since 2019).

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About Blue Moon Senior Counseling NPPES

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

BLUE MOON SENIOR COUNSELING (NPI 1205129186) is a healthcare organization registered as a clinical in Plainfield, Illinois and active in the NPI registry since May 2011. The organization lists Melanie Donohue, Owner, as its authorized official.

NPPES Registry Identity

NPI1205129186

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameBLUE MOON SENIOR COUNSELING

Location Address10204 BODE ST STE BPlainfield, IL 60585-9813

Mailing Address10204 Bode St Ste BPlainfield, IL 60585-9813 · (855) 241-7160 · Fax (954) 324-8354

Phone(855) 241-7160

Fax(954) 324-8354

Organization SubpartNo

Authorized OfficialMelanie DonohueOwner · (702) 403-0438

Enumeration DateMay 25, 2011

Last NPPES UpdateMay 18, 20212 updates tracked since enumeration

NPPES CertifiedMay 18, 2021

✔ NPI 1205129186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW8327

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

10204 BODE ST STE B, Plainfield, IL 60585

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Other Identifiers 1

OtherFL606AFL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

VIKTORIJA BENNETT

Social Worker (Clinical)