Waning Moon LLC
Waning Moon LLC is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in O Fallon, IL, holding Type 2 (organization) NPI 1467144675 since 2023. The authorized official on file is Shelby Reece, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1467144675 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Waning Moon LLC |
| Practice address | 502 W STATE ST, O Fallon, IL, 62269 |
| Phone | 2178914931 |
| Enumeration date | 2023-05-25 |
| Last updated in NPPES | 2023-05-25 |
Authorized official
| Name | Shelby Reece |
|---|---|
| Title | Owner |
| Phone | 2178914931 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0850X | Adult Mental Health Clinic/Center | Secondary | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | Secondary | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Primary | — | — |
Copy-ready billing details
Provider: Waning Moon LLC NPI: 1467144675 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) Address: 502 W STATE ST, O Fallon, IL, 62269
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1912366436 | Kacey Panyik | Individual | Advanced Practice Midwife | O Fallon, IL |
| 1871425785 | Harmony Health & Home Birth | Organization | Advanced Practice Midwife | O Fallon, IL |
Verify this record
Cross-check NPI 1467144675 against the authoritative CMS record: view Waning Moon LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Waning Moon LLC?
What is the NPI number for Waning Moon LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-05-25.