Waning Moon LLC
NPI 1467144675 · Mental Health Clinic/Center (Including Community Mental Health Center) · O Fallon, IL
Waning Moon LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in O Fallon, IL (NPI 1467144675).
Provider details
- NPI number
- 1467144675
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shelby Reece, Owner(217) 891-4931
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-25
- Last updated
- 2023-05-25
- Certified
- 2023-05-25
Frequently asked questions
- What is Waning Moon LLC's NPI number?
- Waning Moon LLC's National Provider Identifier (NPI) is 1467144675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waning Moon LLC?
- Waning Moon LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Waning Moon LLC located?
- Waning Moon LLC's practice location on file with NPPES is 502 W State St, O Fallon, IL 62269-1913.
- What is Waning Moon LLC's phone number?
- The practice phone number listed in the NPPES registry for Waning Moon LLC is (217) 891-4931.
- Who is the authorized official for Waning Moon LLC?
- The authorized official listed on Waning Moon LLC's NPPES record is Shelby Reece, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waning Moon LLC's NPI active?
- Yes — Waning Moon LLC's NPI (1467144675) is active in the NPPES registry as of the last update on 2023-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.