NEW MOON COUNSELING PLLC
NPI 1255078119
Psychologist - Clinical in Chicago, IL

Q: What is New Moon Counseling PLLC's NPI number?

The NPI number for New Moon Counseling PLLC is 1255078119. It was assigned to this organization in the NPPES registry on May 12, 2022.

Q: What is New Moon Counseling PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 12, 2022

1740 N MAPLEWOOD AVE APT 211, CHICAGO, IL 60647(847) 612-9477 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About New Moon Counseling Pllc NPPES

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

NEW MOON COUNSELING PLLC (NPI 1255078119) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since May 2022. The organization lists Gabrielle L Wolk-phillips, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1255078119

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameNEW MOON COUNSELING PLLC

Location Address1740 N MAPLEWOOD AVE APT 211Chicago, IL 60647-5281

Mailing Address1740 N Maplewood Ave Apt 211Chicago, IL 60647-5281 · (847) 612-9477

Phone(847) 612-9477

Organization SubpartNo

Authorized OfficialGabrielle L Wolk-phillipsLicensed Clinical Psychologist · (847) 612-9477

Enumeration DateMay 12, 2022

NPPES CertifiedMay 12, 2022

✔ NPI 1255078119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1740 N MAPLEWOOD AVE APT 211, Chicago, IL 60647

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Moon Counseling Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Moon Counseling PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gabrielle Wolk-Phillips, PSY.D.

Clinical Psychologist

NPI 1669910923

1740 N MAPLEWOOD AVE UNIT 211
Chicago, IL 60647

(847) 612-9477

✔ PECOSSame address

Source: 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 New Moon Counseling PLLC's NPI number?

The NPI number for New Moon Counseling PLLC is 1255078119. It was assigned to this organization in the NPPES registry on May 12, 2022.

Where is New Moon Counseling PLLC located?

New Moon Counseling PLLC is located at 1740 N Maplewood Ave Apt 211, Chicago, IL 60647. The listed phone number is (847) 612-9477.

What is New Moon Counseling PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is New Moon Counseling PLLC enrolled in Medicare?

Yes. New Moon Counseling PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Moon Counseling PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to New Moon Counseling PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for New Moon Counseling PLLC was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.