Constance D Owens-Mooney, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.007072 Issued in IL

Practice address

1003 Martin Luther King Dr
Bloomington, IL 61701-1429

Phone

(309) 820-3735

Fax

(309) 820-3745

NPI assigned

Jun 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Chestnut Health Systems IncGroup PAC ID 1052393063, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chestnut Health Systems Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bloomington, IL
  • NPI 1366431686

  IL

  Medicare reassignment Care Compare group NPD
• Chestnut Health Systems Inc.

  • Federally Qualified Health Center (FQHC)
  • Bloomington, IL
  • NPI 1225740756
  Care Compare group
• Chestnut Health Systems Inc.

  • Federally Qualified Health Center (FQHC)
  • Belleville, IL
  • NPI 1801508544
  Care Compare group
• Chestnut Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Granite City, IL
  • NPI 1326417080
  Care Compare group
• Chestnut Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Bloomington, IL
  • NPI 1790055952
  Care Compare group
• Chestnut Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Maryville, IL
  • NPI 1467174177
  Care Compare group
• Chestnut Health Systems Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wood River, IL
  • NPI 1235941311
  NPD
• Chestnut Health Systems

  • Substance Abuse Rehabilitation Facility
  • Bloomington, IL
  • NPI 1316068471
  NPD (past)
• Chestnut Health Systems Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bloomington, IL
  • NPI 1356596563
  NPD (past)
• Chestnut Health Systems, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IL
  • NPI 1194227827
  NPD (past)
• Chestnut Health Systems, Inc.

  • Substance Abuse Rehabilitation Facility
  • Bloomington, IL
  • NPI 1245781079
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1376779025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MARTIN LUTHER KING DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617011429",
            "telephone_number": "309-820-3735",
            "fax_number": "309-820-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MARTIN LUTHER KING DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617011429",
            "telephone_number": "309-820-3735",
            "fax_number": "309-820-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS-MOONEY",
        "first_name": "CONSTANCE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007072",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.007072",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osf Saint Francis, Inc
• Kaitlyn Oslanzi
• Otangeles Medical of Illinois, Inc.
• Otis Allen MD SC
• Dionne Marie Otto, DOULA, LCCE, CLC
• Angelina C Owens
• Caroline Owens, DMD
• Pacalo LLC
• Jacob Bradley Page, A.C.N.P.
• Paige C Holt, MD, LTD

• All providers in Bloomington, IL
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.