Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MOONLIGHT COUNSELING CENTER, PLLC
NPI 1376448548
Social Worker - Clinical in Champaign, IL

Active since October 08, 2026
3125 VILLAGE OFFICE PL, CHAMPAIGN, IL 61822(779) 235-0141 Get Directions Write a Review

NPPES record added: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Moonlight Counseling Center, Pllc NPPES

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

MOONLIGHT COUNSELING CENTER, PLLC (NPI 1376448548) is a healthcare organization registered as a clinical in Champaign, Illinois and active in the NPI registry since October 2026. The organization lists Deidra Dame, Owner, as its authorized official.

NPPES Registry Identity

NPI1376448548
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMOONLIGHT COUNSELING CENTER, PLLC
Location Address3125 VILLAGE OFFICE PLChampaign, IL 61822-7673
Mailing Address3125 Village Office PlChampaign, IL 61822-7673 · (779) 235-0141
Organization SubpartNo
Authorized OfficialDeidra DameOwner · (779) 235-0141
Enumeration DateOctober 8, 2026
NPPES CertifiedOctober 8, 2026
✔ NPI 1376448548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
3125 VILLAGE OFFICE PL, Champaign, IL 61822

Other Providers at the Same Location NPPES 3

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

Podiatrist (Foot & Ankle Surgery)
3125 VILLAGE OFFICE PL
CHAMPAIGN, IL 61822
Social Worker (Clinical)
3125 VILLAGE OFFICE PL
CHAMPAIGN, IL 61822
Social Worker (Clinical)
3125 VILLAGE OFFICE PL
CHAMPAIGN, IL 61822

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 Moonlight Counseling Center, PLLC's NPI number?

The NPI number for Moonlight Counseling Center, PLLC is 1376448548. It was assigned to this organization in the NPPES registry on October 8, 2026.

Where is Moonlight Counseling Center, PLLC located?

Moonlight Counseling Center, PLLC is located at 3125 Village Office Pl, Champaign, IL 61822. The listed phone number is (779) 235-0141.

What is Moonlight Counseling Center, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Moonlight Counseling Center, PLLC was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.