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DR. MUSTAFA MOYENDA LCPC, CAADC
NPI 1861640856
Counselor - Professional in Chicago, IL

Active since September 03, 2008
9510 S CONSTANCE AVE, C6, CHICAGO, IL 60617(872) 221-0041(866) 683-7047 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mustafa Moyenda Lcpc, Caadc NPPES

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

DR. MUSTAFA MOYENDA LCPC, CAADC (NPI 1861640856) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180003124) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1861640856
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. MUSTAFA MOYENDACredential: LCPC, CAADC
Location Address9510 S CONSTANCE AVE, C6Chicago, IL 60617-4700
Mailing Address430 E 162nd St # 398South Holland, IL 60473-2258 · (872) 221-0041
Phone(872) 221-0041
Fax(866) 683-7047
Sole ProprietorYes
Enumeration DateSeptember 3, 2008
Last NPPES UpdateOctober 19, 2018
✔ NPI 1861640856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180003124
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 14823 (IL)
9510 S CONSTANCE AVE, Chicago, IL 60617
Open in Google Maps ↗

Other Identifiers 1

Other180003124IL · Lcpc License

Other Providers at the Same Location NPPES 4

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

EUSTRESS THERAPY AND WELLNESS
Counselor (Professional)
9510 S CONSTANCE AVE, SUITE C-6
CHICAGO, IL 60617
Cook County (872) 221-0041
DR. LASHONDA FULLER PH.D.
Counselor (Professional)
9510 S CONSTANCE AVE, SUITE C-6
CHICAGO, IL 60617
Cook County (872) 221-0041
VISIONS FOR CHANGE COUNSELING CENTER, PC
Psychologist (Clinical)
9510 S CONSTANCE AVE, SUITE C6
CHICAGO, IL 60617
Cook County (773) 510-0104
CARMEN CARTER
Massage Therapist
9510 S CONSTANCE AVE, SUITE C-6
CHICAGO, IL 60617
Cook County (773) 299-8292

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 Mustafa Moyenda's NPI number?

The NPI number for Mustafa Moyenda is 1861640856. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Mustafa Moyenda located?

Mustafa Moyenda practices at 9510 S Constance Ave C6, Chicago, IL 60617. The listed phone number is (872) 221-0041.

What is Mustafa Moyenda's specialty?

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

When was this NPI record last updated?

The NPPES record for Mustafa Moyenda was last updated on October 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.