BLUE MOON SENIOR COUNSELING (NPI# 1205129186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205129186 |
| Entity Type | Organization |
| Organization Name | BLUE MOON SENIOR COUNSELING |
| Practice Address |
2701 N Course Dr Pompano Beach FL 33069-3058 |
| Mailing Address |
10204 Bode St Ste B Plainfield IL 60585-9813 |
| Practice Telephone | 8552417160 |
| Practice Fax Number | 9543248354 |
| Mailing Telephone | 8552417160 |
| Mailing Fax Number | 9543248354 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | MS. MELANIE DONOHUE (OWNER) |
| Authorized Official Telephone | 7024030438 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW8327 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | FL606A | 01 |
| Street Address |
2701 N COURSE DR |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33069-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396703492 | Quality Rehab Systems, Inc. | Occupational Therapist | 2701 N Course Dr, Pompano Beach, FL 33069-3058 | 2006-05-01 |
| 1689288821 | Snh Fla Tenant LLC | Assisted Living Facility | 2701 N Course Dr, Pompano Beach, FL 33069-3058 | 2020-09-04 |
| 1437706512 | Snh Fla Tenant LLC | Assisted Living Facility | 2701 N Course Dr, Pompano Beach, FL 33069-3058 | 2019-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665171 | Patricia Michelle Cooper | Social Worker | Memory Training Centers of America At The Court of Palm, 2701 N. Course Dr., Pompano Beach, FL 33069 | 2019-08-23 |
| 1427619253 | Julio Salas | Dentist | Bcfhc Dental Office, 162 North Powerline Road, Pompano Beach, FL 33069 | 2019-06-24 |
| 1104327758 | Otanys Garcia Hernandez | Behavior Technician | 3433 Sands Habor Trace, Pompano Beach, FL 33069 | 2018-02-27 |
| 1497271209 | Angel A Martinez | Nursing Care | 3235 Nw 2nd St, Unit 104, Pompano Beach, FL 33069 | 2017-08-15 |
| 1134666274 | Michele Nadine Innocent | Nurse Practitioner | 2031 Nw 6th Court, Pompano Beach, FL 33069 | 2017-01-27 |
| 1942743554 | Certified Spine and Pain Care | Pain Medicine | 150 Sw 12th Ave Ste 101a, Pompano Beach, FL 33069 | 2016-11-30 |
| 1245691641 | Patrick Arends | Registered Nurse | 2500 Nw Manor, Pompano Beach, FL 33069 | 2016-03-11 |
| 1962862011 | Ashley Minkus | Registered Nurse | 2500 Nw 29th Manor, Pompano Beach, FL 33069 | 2016-03-02 |
| 1962892828 | Christina Celia | Behavioral Analyst | 3520 Oaks Way #904, Pompano Beach, FL 33069 | 2015-01-30 |
| 1588949382 | Gary Wayne Foulk | Pharmacist | 2401 W Atlantic Blvd, Pompano Beach, FL 33069 | 2011-10-13 |
| Find all providers in zip 33069 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942262 | Shirley Roseman | Social Worker | 1450 E Sample Rd Apt 101, Pompano Beach, FL 33064-6267 | 2020-11-06 |
| 1275140287 | Jessica Toner | Social Worker | 3907 N Federal Hwy # 228, Pompano Beach, FL 33064-6042 | 2020-09-24 |
| 1396351821 | Brittney Eluett | Social Worker | 2637 E. Atlantic Blvd., Suite 38267, Pompano Beach, FL 33062 | 2020-09-21 |
| 1902427198 | Nicole M Farshchian | Social Worker | 140 S Cypress Rd Apt 115, Pompano Beach, FL 33060-7063 | 2020-04-29 |
| 1891336954 | Rina Tsohn | Social Worker | 440 E Sample Rd Ste 212, Pompano Beach, FL 33064-4444 | 2019-09-30 |
| 1023665171 | Patricia Michelle Cooper | Social Worker | Memory Training Centers of America At The Court of Palm, 2701 N. Course Dr., Pompano Beach, FL 33069 | 2019-08-23 |
| 1972954378 | Sandra E Shuty | Social Worker | 180 Cypress Club Dr, Apt 805, Pompano Beach, FL 33060-4773 | 2016-06-27 |
| 1184099228 | Claudia Ewald | Social Worker | 4699 N Federal Hwy # 102f, Pompano Beach, FL 33064-6510 | 2015-12-01 |
| 1699185983 | Martine Dugard | Social Worker | 201 Ne 23rd Ct, Pompano Beach, FL 33060-4952 | 2014-05-07 |
| 1689092421 | Matthew Dennison | Social Worker | 3050 N Palm Aire Dr Apt 502, Pompano Beach, FL 33069-3477 | 2014-03-30 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33069 |
Please comment or provide details below to improve the information on BLUE MOON SENIOR COUNSELING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.