Moonlight Trauma and Counseling Center PLLC
NPI 1740134485 · Clinical Social Worker · Champaign, IL
Moonlight Trauma and Counseling Center PLLC is a Clinical Social Worker organization in Champaign, IL (NPI 1740134485).
Provider details
- NPI number
- 1740134485
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Deidre Dame, Lcsw(217) 419-1878
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2026-02-20
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Frequently asked questions
- What is Moonlight Trauma and Counseling Center PLLC's NPI number?
- Moonlight Trauma and Counseling Center PLLC's National Provider Identifier (NPI) is 1740134485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moonlight Trauma and Counseling Center PLLC?
- Moonlight Trauma and Counseling Center PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Moonlight Trauma and Counseling Center PLLC located?
- Moonlight Trauma and Counseling Center PLLC's practice location on file with NPPES is 3125 Village Office Pl, Champaign, IL 61822-7673.
- What is Moonlight Trauma and Counseling Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Moonlight Trauma and Counseling Center PLLC is (217) 419-1878.
- Who is the authorized official for Moonlight Trauma and Counseling Center PLLC?
- The authorized official listed on Moonlight Trauma and Counseling Center PLLC's NPPES record is Deidre Dame, Lcsw. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moonlight Trauma and Counseling Center PLLC's NPI active?
- Yes — Moonlight Trauma and Counseling Center PLLC's NPI (1740134485) is active in the NPPES registry as of the last update on 2026-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.