Individual provider Active NPI

Robert John Mooney, LPC MA

  • Mental Health Counselor
  • Pekin, IL
National Provider Identifier
1013975648
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1423 Valle Vista
Pekin, IL 61554
Phone
(309) 347-1148
Fax
(309) 347-1298
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Primary

Addresses

Primary practice location

1423 Valle Vista
Pekin, IL 61554

Mailing address

1423 Valle Vista
Pekin, IL 61554
Phone (309) 347-1148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226001704 IL Practitioner - Mental Health Counselor 7618312042 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ensight Mental Health and Wellness PLLCGroup PAC ID 3870093982, 2 clinicians

Practice addresses (Care Compare)

111 N 6TH St
Suite G1
Pekin, IL 61554-3320
Phone (309) 810-4407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178003912ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ensight Mental Health & Wellness PLLC Mental Health CurrentSince Nov 3, 2025 Accepting new patients
Human Service Center CurrentSince Oct 24, 2024 Accepting new patients
Tazwood Mental Health Center, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Tazwood Mental Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Tazwood Mental Health Center, Inc. Past Accepting new patients

Locations

111 N 6th St
Ste G1
Pekin, IL 61554
Phone (309) 810-4407

3248 Vandever Ave
Pekin, IL 61554
Phone (309) 347-5522

1423 Valle Vista Blvd
Pekin, IL 61554
Phone (309) 347-1148

228 NE Jefferson Ave
Peoria, IL 61603
Phone (309) 671-8000

600 Fayette St
Peoria, IL 61603
Phone (309) 671-8020

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013975648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 VALLE VISTA",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "61554",
            "telephone_number": "309-347-1148",
            "fax_number": "309-347-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 VALLE VISTA",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "61554",
            "telephone_number": "309-347-1148",
            "fax_number": "309-347-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LPC MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

Verify at the official NPI Registry.