WANING MOON LLC
NPI 1467144675
Clinic/Center - Mental Health (Including Community Mental Health Center) in O Fallon, IL

NPI Status: Active since May 25, 2023

Contact Information

502 W STATE ST
O FALLON, IL
ZIP 62269
Phone: (217) 891-4931

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About WANING MOON LLC

This page provides the complete NPI Profile along with additional information for Waning Moon Llc, a provider established in O Fallon, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1467144675 assigned on May 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Shelby Reece Lcpc (Owner)

NPI
1467144675
Provider Name
WANING MOON LLC
Entity Type
Organization
Location Address
502 W STATE ST O FALLON, IL 62269
Location Phone
(217) 891-4931
Mailing Address
201 BLANC LEE DR BELLEVILLE, IL 62226
Mailing Phone
(217) 891-4931
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2023
Last Update Date
05-25-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
2261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHELBY REECE LCPC

Authorized Official Title
OWNER
Authorized Official Phone
(217) 891-4931

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1467144675, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 2 + 4 + 8 + 6 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1467144675.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467144675, enumerated as an "organization" on May 25, 2023.

The provider is located at 502 W STATE ST O FALLON, IL 62269 and the phone number is (217) 891-4931.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).