Blue Moon Senior Counseling
NPI 1205129186ActiveOrganization· Social Worker, Clinical· Plainfield, IL
Social Worker, Clinical in Plainfield, Illinois, registered in NPPES in May 2011. The authorized official on file is Melanie Donohue, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205129186 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2011 |
| Last updated in NPPES | May 18, 2021 |
| Certified by provider | May 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW8327 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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