Organization Active NPI

Blue Moon Therapy & Consulting

  • Marriage & Family Therapist
  • Milford, DE
National Provider Identifier
1497544241
Registry record updated Jan 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2026

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20260205003641 DE Part B Supplier - Clinic/Group Practice 6800375205 Receives reassigned benefits from 1 practitioner
Practice locations: Milford, DE

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.