Lavender Moon Self Illuminating Counseling Services PLLC
NPI 1558189076 · Adult Mental Health Clinic/Center · Chicago, IL
Lavender Moon Self Illuminating Counseling Services PLLC is a Adult Mental Health Clinic/Center organization in Chicago, IL (NPI 1558189076).
Provider details
- NPI number
- 1558189076
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Taylor Quinn, Owner/Lcpc(708) 504-2528
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1858 W Chicago Ave Apt 3rChicago, IL 60622-5547Phone: (708) 504-2528
Registry dates
- Enumerated
- 2024-10-02
- Last updated
- 2025-04-17
- Certified
- 2025-04-17
Frequently asked questions
- What is Lavender Moon Self Illuminating Counseling Services PLLC's NPI number?
- Lavender Moon Self Illuminating Counseling Services PLLC's National Provider Identifier (NPI) is 1558189076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lavender Moon Self Illuminating Counseling Services PLLC?
- Lavender Moon Self Illuminating Counseling Services PLLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lavender Moon Self Illuminating Counseling Services PLLC located?
- Lavender Moon Self Illuminating Counseling Services PLLC's practice location on file with NPPES is 1400 W Randolph St Unit 1002, Chicago, IL 60607-1433.
- What is Lavender Moon Self Illuminating Counseling Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lavender Moon Self Illuminating Counseling Services PLLC is (708) 918-4456.
- Who is the authorized official for Lavender Moon Self Illuminating Counseling Services PLLC?
- The authorized official listed on Lavender Moon Self Illuminating Counseling Services PLLC's NPPES record is Taylor Quinn, Owner/Lcpc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lavender Moon Self Illuminating Counseling Services PLLC's NPI active?
- Yes — Lavender Moon Self Illuminating Counseling Services PLLC's NPI (1558189076) is active in the NPPES registry as of the last update on 2025-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.