1952199374 NPI number — DEFINING MOMENTS COUNSELING PLLC

Table of content: DR. MARK EDWARD BABO MD (NPI 1558328120)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952199374 NPI number — DEFINING MOMENTS COUNSELING PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DEFINING MOMENTS COUNSELING PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
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Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
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Provider Other Last Name:
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NPI Number Information

NPI Number:
1952199374
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2155 CARPENTER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLAINFIELD
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60586-5943
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
815-909-6586
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2155 CARPENTER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLAINFIELD
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60586-5943
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-909-6586
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/26/2025

Additional Information

Authorized Official

Authorized Official Last Name:
WOLTER
Authorized Official First Name:
DEANNE
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
CLINICAL MENTAL HEALTH COUNSELOR
Authorized Official Telephone Number:
815-909-6586

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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