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MS. KATHRYN A MOON M.A., L.C.P.C.
NPI 1679530893
Counselor in Chicago, IL

Active since May 01, 2006PECOS Enrolled
6240 N MAGNOLIA AVE APT 1, CHICAGO, IL 60660(773) 643-1140 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kathryn A Moon M.a., L.c.p.c. NPPES

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

MS. KATHRYN A MOON M.A., L.C.P.C. (NPI 1679530893) is an individual counselor in Chicago, Illinois, licensed in Illinois (180-003652) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1679530893
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. KATHRYN A MOONCredential: M.A., L.C.P.C.
Location Address6240 N MAGNOLIA AVE APT 1Chicago, IL 60660-1909
Mailing Address6240 N Magnolia Ave Apt 1Chicago, IL 60660-1909 · (773) 643-1140
Phone(773) 643-1140
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMay 1, 2006
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1679530893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 180-003652
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 180-003652 (IL)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180-003652 (IL)
6240 N MAGNOLIA AVE APT 1, Chicago, IL 60660
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kathryn A Moon M.a., L.c.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658711973
PECOS Enrollment IDI20240502002866
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kathryn Moon's NPI number?

The NPI number for Kathryn Moon is 1679530893. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Kathryn Moon located?

Kathryn Moon practices at 6240 N Magnolia Ave Apt 1, Chicago, IL 60660. The listed phone number is (773) 643-1140.

What is Kathryn Moon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kathryn Moon enrolled in Medicare?

Yes. Kathryn Moon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Moon was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.