Individual provider Active NPI

Emily A Moore, CT

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1154999407
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.018746 Issued in IL
Practice address
155 N Michigan Ave Ste 707
Chicago, IL 60601-7706
Phone
(312) 819-7381
NPI assigned
Jun 14, 2021
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2103198-TRNE OH
Professional Counselor 101YP2500X 178.018746 IL Primary

Addresses

Primary practice location

155 N Michigan Ave Ste 707
Chicago, IL 60601-7706

Mailing address

155 N Michigan Ave Ste 707
Chicago, IL 60601-7706
Phone (312) 819-7381

Other practice location 1

1811 W North Ave Ste 402
Chicago, IL 60622-0204
Phone (312) 819-7381

Other practice location 2

3047 N Lincoln Ave
Chicago, IL 60657-4999
Phone (312) 819-7381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.018746ILMDCounselor
C.2103198-TRNEOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Therapy Chicago, PLLC CurrentSince Jul 31, 2023 Accepting new patients

Locations

155 N Michigan Ave
Ste 201
Chicago, IL 60601
Phone (312) 219-6335

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1154999407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 707",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017706",
            "telephone_number": "312-819-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 707",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017706",
            "telephone_number": "312-819-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 W North Ave Ste 402",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606220204",
            "country_code": "US",
            "telephone_number": "312-819-7381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3047 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574999",
            "country_code": "US",
            "telephone_number": "312-819-7381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EMILY",
        "middle_name": "A",
        "credential": "CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2103198-TRNE",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.018746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.