MS. KENNON WHITING MOON NPI 1003651415

NPI Information

  • NPI: 1003651415
  • Provider Name: MS. KENNON WHITING MOON
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 1925 N CLYBOURN AVE STE 300
    CHICAGO, IL
    ZIP 60614
  • Phone: (773) 697-8839

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NPI Details

MS. Kennon Whiting Moon is a counselor in Chicago, IL. The provider is 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. MS. Kennon Whiting Moon NPI is 1003651415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1925 N CLYBOURN AVE STE 300
CHICAGO, IL
ZIP 60614-395
Phone: (773) 697-8839

The enumeration date for this NPI number is 6/27/2024 and was last updated on 6/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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