Active NPI
Blue Moon Therapy & Consulting
- Marriage & Family Therapist
- Milford, DE
National Provider Identifier
1497544241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- BLUE MOON THERAPY & CONSULTING
- Practice address
- 23121 Rutt Rd
Milford, DE 19963-4806 - Phone
- (703) 313-0040
- NPI assigned
- May 6, 2025
- Last updated
- Jan 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa Jeanne Lear Doyle, PHD, LMFT
- Title
- Sole Member
- Phone
- (703) 313-0040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
23121 Rutt Rd
Milford, DE 19963-4806
Mailing address
19213 Cavendish Way
Lewes, DE 19958-4968
Phone (703) 313-0040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769299200000",
"number": "1497544241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19213 CAVENDISH WAY",
"city": "LEWES",
"state": "DE",
"postal_code": "199584968",
"telephone_number": "703-313-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23121 RUTT RD",
"city": "MILFORD",
"state": "DE",
"postal_code": "199634806",
"telephone_number": "703-313-0040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE MOON THERAPY & CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-06",
"last_updated": "2026-01-25",
"certification_date": "2026-01-25",
"status": "A",
"authorized_official_last_name": "LEAR DOYLE",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "JEANNE",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "703-313-0040",
"authorized_official_credential": "PHD, LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.