NOVA LUNA BEHAVIOR HEALTH SERVICES LLC
NPI 1417792284
Counselor - Professional in Chicago, IL

Q: What is Nova Luna Behavior Health Services LLC's specialty?

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

Active since June 25, 2024

1653 W 35TH ST, CHICAGO, IL 60609(773) 615-5415 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Nova Luna Behavior Health Services Llc NPPES

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

NOVA LUNA BEHAVIOR HEALTH SERVICES LLC (NPI 1417792284) is a healthcare organization registered as a professional in Chicago, Illinois and active in the NPI registry since June 2024. The organization lists Jessica Carrillo-guerrero, Owner, as its authorized official.

NPPES Registry Identity

NPI1417792284

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameNOVA LUNA BEHAVIOR HEALTH SERVICES LLC

Location Address1653 W 35TH STChicago, IL 60609-1309

Mailing Address1653 W 35th StChicago, IL 60609-1309 · (773) 615-5415

Phone(773) 615-5415

Organization SubpartNo

Authorized OfficialJessica Carrillo-guerreroOwner · (773) 615-5415

Enumeration DateJune 25, 2024

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1417792284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

1653 W 35TH ST, Chicago, IL 60609

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nova Luna Behavior Health Services Llc 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 Nova Luna Behavior Health Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Carrillo-Guerrero, LCPC

Mental Health Counselor

NPI 1073257770

1653 W 35TH ST
Chicago, IL 60609

(708) 613-7862

✔ 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 Nova Luna Behavior Health Services LLC's NPI number?

The NPI number for Nova Luna Behavior Health Services LLC is 1417792284. It was assigned to this organization in the NPPES registry on June 25, 2024.

Where is Nova Luna Behavior Health Services LLC located?

Nova Luna Behavior Health Services LLC is located at 1653 W 35th St, Chicago, IL 60609. The listed phone number is (773) 615-5415.

What is Nova Luna Behavior Health Services LLC's specialty?

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

Is Nova Luna Behavior Health Services LLC enrolled in Medicare?

Yes. Nova Luna Behavior Health Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nova Luna Behavior Health Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Nova Luna Behavior Health Services LLC. 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 Nova Luna Behavior Health Services LLC was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.