Blue Moon Therapy & Consulting
Organization Active NPI Marriage & Family Therapist · Milford, DE
NPI 1497544241 · NPPES record last updated Jan 25, 2026
Key facts
- NPI
- 1497544241
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 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
- Organization subpart
- No
Authorized official
- Name
- Teresa Jeanne Lear Doyle, PHD, LMFT
- Title
- Sole Member
- Phone
- (703) 313-0040
Practitioners 1
-
Teresa Jeanne Lear, LMFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260205003641 | DE | Part B Supplier - Clinic/Group Practice | 6800375205 |
Receives reassigned benefits from 1 practitioner Practice locations: Milford, DE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
23121 Rutt Rd
Milford, DE 19963-4806
Mailing address
19213 Cavendish Way
Lewes, DE 19958-4968
Phone (703) 313-0040
Other providers in Milford, DE
- David Robert Birch
- Andrea Marylin Bishop
- W. Scott Blackson
- Mia Blake
- Robert M Blitzer
- Gloria A Boardman
- Sarah Boddie
- Mark Bodin
- Stephanie Boley
- Raymond A Bologna
All providers in Milford, DE · Marriage & Family Therapist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.