BLUE MOON SENIOR COUNSELING OF CALIFORNIA LLC
NPI 1447678990
Social Worker - Clinical in Plainfield, IL

Active since April 02, 2014
10204 BODE ST STE B, PLAINFIELD, IL 60585(855) 241-7160(954) 324-8354 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blue Moon Senior Counseling Of California Llc NPPES

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

BLUE MOON SENIOR COUNSELING OF CALIFORNIA LLC (NPI 1447678990) is a healthcare organization registered as a clinical in Plainfield, Illinois and active in the NPI registry since April 2014. The organization lists Melanie E Donohue, Owner, as its authorized official.

NPPES Registry Identity

NPI1447678990
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBLUE MOON SENIOR COUNSELING OF CALIFORNIA LLC
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
Fax(954) 324-8354
Organization SubpartNo
Authorized OfficialMelanie E DonohueOwner · (855) 241-7160
Enumeration DateApril 2, 2014
Last NPPES UpdateSeptember 20, 2019
✔ NPI 1447678990 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

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)

Blue Moon Senior Counseling Of California Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

116

Medicare enrollment records show 116 clinicians reassign Medicare billing to Blue Moon Senior Counseling Of California LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Clinical Social Worker93
Marriage and Family Therapist17
Mental Health Counselor5
Clinical Psychologist1

Nearest to this location (20)

See all 116
Mental Health Counselor
NPI 1083851224
4654 N ROCKWELL ST
Chicago, IL 60625
(773) 425-0559
✔ PECOS✔ Accepts Medicare34 mi
Mental Health Counselor
NPI 1720242399
300 68TH ST SE
Grand Rapids, MI 49548
(616) 455-5000
✔ PECOS✔ Accepts Medicare154 mi
Mental Health Counselor
NPI 1932588696
4545 42ND ST NW # 7090198
Washington, DC 20016
(202) 709-0198
✔ PECOS✔ Accepts Medicare619 mi
Clinical Social Worker
NPI 1205274172
206 ORCHARD DR
Elizabeth City, NC 27909
(562) 743-0806
✔ PECOS✔ Accepts Medicare752 mi
Clinical Social Worker
NPI 1952776684
11530 US 49 SUITE E
Gulfport, MS 39503
(228) 707-2007
✔ PECOS✔ Accepts Medicare776 mi
Clinical Social Worker
NPI 1144893157
1261 NEWCASTLE DR
Weatherford, TX 76086
(817) 900-6234
✔ PECOS810 mi
Clinical Social Worker
NPI 1518900448
379 6TH AVE W
Bradenton, FL 34205
(941) 782-4100
✔ PECOS✔ Accepts Medicare1,030 mi
Clinical Social Worker
NPI 1639160625
6509 MESA MARIPOSA PL NW STE B
Albuquerque, NM 87120
(505) 319-1276
✔ PECOS✔ Accepts Medicare1,095 mi
Clinical Social Worker
NPI 1578201893
22782 E PEGASUS PKWY
Queen Creek, AZ 85142
(760) 310-1504
✔ PECOS✔ Accepts Medicare1,405 mi
Clinical Social Worker
NPI 1447366752
67555 E PALM CANYON DR STE C113
Cathedral City, CA 92234
(760) 773-4300
✔ PECOS✔ Accepts Medicare1,631 mi
Marriage and Family Therapist
NPI 1083495246
1174 NEVADA ST STE 210
Redlands, CA 92374
(909) 255-1250
✔ PECOS✔ Accepts Medicare1,660 mi
Marriage and Family Therapist
NPI 1881827723
7177 BROCKTON AVE SUITE 452
Riverside, CA 92506
(714) 844-3787
✔ PECOS1,673 mi
Marriage and Family Therapist
NPI 1396119038
1529 E PALMDALE BLVD
Palmdale, CA 93550
(661) 272-9996
✔ PECOS✔ Accepts Medicare1,689 mi
Marriage and Family Therapist
NPI 1114525995
940 56TH ST
San Diego, CA 92114
(619) 871-6412
✔ PECOS✔ Accepts Medicare1,697 mi
Marriage and Family Therapist
NPI 1023492204
128 S COLLEGE ST
La Habra, CA 90631
(562) 378-9902
✔ PECOS1,701 mi
Marriage and Family Therapist
NPI 1720868474
1478 E LINCOLN AVE
Anaheim, CA 92805
(714) 776-2500
✔ PECOS✔ Accepts Medicare1,702 mi
Marriage and Family Therapist
NPI 1689189292
144 S L ST
Dinuba, CA 93618
(559) 591-6680
✔ PECOS✔ Accepts Medicare1,702 mi
Clinical Psychologist
NPI 1831679893
1500 HUGHES WAY
Long Beach, CA 90810
(323) 401-0614
✔ PECOS✔ Accepts Medicare1,718 mi
Mental Health Counselor
NPI 1558904136
3960 INDUSTRIAL BLVD # 600
West Sacramento, CA 95691
(951) 440-5016
✔ PECOS✔ Accepts Medicare1,767 mi
Mental Health Counselor
NPI 1760519839
3724 COWELL RD
Concord, CA 94518
(925) 899-6831
✔ PECOS✔ Accepts Medicare1,803 mi
See all 116 clinicians

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 Blue Moon Senior Counseling Of California LLC's NPI number?

The NPI number for Blue Moon Senior Counseling Of California LLC is 1447678990. It was assigned to this organization in the NPPES registry on April 2, 2014.

Where is Blue Moon Senior Counseling Of California LLC located?

Blue Moon Senior Counseling Of California LLC 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 Of California LLC's specialty?

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

Is Blue Moon Senior Counseling Of California LLC enrolled in Medicare?

Yes. Blue Moon Senior Counseling Of California LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Moon Senior Counseling Of California LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 4 Medicare specialties reassign their Medicare billing to Blue Moon Senior Counseling Of California 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. The largest specialties are Clinical Social Worker (93), Marriage and Family Therapist (17) and Mental Health Counselor (5). 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 Of California LLC was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.