BLUE MOON SENIOR COUNSELING
NPI 1205129186
Social Worker - Clinical in Plainfield, IL
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blue Moon Senior Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
57Medicare enrollment records show 57 clinicians reassign Medicare billing to Blue Moon Senior Counseling, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 57Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.
Where is Blue Moon Senior Counseling located?
Blue Moon Senior Counseling is located at 10204 Bode St Ste B, Plainfield, IL 60585. The listed phone number is (855) 241-7160.
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.
Is Blue Moon Senior Counseling enrolled in Medicare?
Yes. Blue Moon Senior Counseling is registered in the Medicare PECOS enrollment system.
When is Blue Moon Senior Counseling's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Blue Moon Senior Counseling?
According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 4 Medicare specialties reassign their Medicare billing to Blue Moon Senior Counseling. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (54), Clinical Psychologist (1) and Marriage and Family Therapist (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Blue Moon Senior Counseling was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Blue Moon Senior Counseling · NPI 1205129186
Clinical organization in Plainfield, Illinois. Organization record, active in the CMS NPPES registry since May 25, 2011.
## Identity
- **NPI:** 1205129186 (Entity type: Organization)
- **Enumerated:** May 25, 2011
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Melanie Donohue, OWNER
## Practice location
- **Address:** 10204 BODE ST STE B, Plainfield, IL 60585-9813
- **Phone:** (855) 241-7160 · **Fax:** (954) 324-8354
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 57 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (54), Clinical Psychologist (1), Marriage and Family Therapist (1); 1 practice at this address; [full list](https://npiprofile.com/npi/1205129186/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2021
- **Other identifiers:** Other FL606A (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1205129186) · Data from the CMS NPPES public registry.