Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Moonlight Trauma and Counseling Center Pllc

Clinical Social Worker in Champaign, IL · enumerated 2026 · authorized official Deidre Dame, Lcsw.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740134485

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Registry record

Entity type Organization (Type 2)

Legal business name Moonlight Trauma and Counseling Center Pllc

Practice address 3125 Village Office Pl, Champaign, IL, 61822

Phone (217) 419-1878

Enumeration date Feb 20, 2026

Last updated in NPPES Feb 20, 2026

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Deidre Dame

Title Lcsw

Phone (217) 419-1878

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.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-02-20. Verify at npiregistry.cms.hhs.gov.

Where is Moonlight Trauma and Counseling Center Pllc located?

The practice location on file with NPPES is in Champaign, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-20.