Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crescent Moon Therapy, PLLC

Organization Mental Health Counselor · NPI 1013663996

Crescent Moon Therapy, PLLC is a Mental Health Counselor in Park Ridge, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1580 N Northwest Hwy Ste 116
Park Ridge, IL 60068-1470
Phone: (847) 975-5128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1013663996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Defilippis — Licensed Clinical Social Worker · (847) 975-5128
NPI enumeratedMarch 1, 2022
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address1580 N Northwest Hwy Ste 116, Park Ridge, IL 60068-1470

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