KELLY LYNN MOORE (NPI# 1457901233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457901233 |
Entity Type | Individual |
Full Name | KELLY LYNN MOORE |
Credential | CSW |
Practice Address |
11111 E Mississippi Ave Ste 268 Aurora CO 80012-3106 |
Mailing Address |
17010 Carlson Dr Apt 1527 Parker CO 80134-6841 |
Practice Telephone | 7206215944 |
Mailing Telephone | 8599125555 |
Enumeration Date | 2019-09-13 |
Last Update Date | 2019-09-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | CSW.09926237 | CO | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962981563 | Kelly Moore | Massage Therapist | 1776 S Jackson St Ste 830, Denver, CO 80210-3807 | 2018-08-14 |
1134619018 | Kelly Michelle Moore | Social Worker | 446 Pinecrest Cir, Long Beach, MS 39560-3639 | 2018-05-16 |
1932630902 | Kelly Moore | Optometrist | 1611 Plummer St #112e, North Hills, CA 91403-2036 | 2017-03-22 |
1780128942 | Kelly Renee Moore | Nurse Practitioner | 224 Margaret Michelle Ct, Saint Peters, MO 63376-4812 | 2016-12-07 |
1568817369 | Kelly Moore | Skilled Nursing Facility | 29 Nonotuck Rd, West Springfield, MA 01089-1616 | 2016-04-28 |
1588042980 | Kelly Moore | Registered Nurse | 1507 Broad Blvd, Cuyahoga Falls, OH 44223-2434 | 2015-05-18 |
1770977563 | Kelly Moore | Registered Nurse | 1120 Huffman Rd Ste 24-787, Anchorage, AK 99515-3516 | 2015-03-19 |
1790106342 | Kelly Ann Moore | Behavioral Analyst | 17845 Ridgeland Ave, Tinley Park, IL 60477-4383 | 2013-12-29 |
1720327570 | Kelly Moore | Occupational Therapy Assistant | 1848 E Gemini Dr, Tempe, AZ 85283-6000 | 2013-02-13 |
1578845913 | Kelly Moore | Counselor | 38 Gray St, Asheville, NC 28801-2118 | 2011-09-12 |
Street Address |
11111 E MISSISSIPPI AVE STE 268 |
City | AURORA |
State | CO |
Zip Code | 80012-3106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
Find all providers in zip 80012 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766985 | Mile High Council On Alcoholism and Drug Abuse | Counselor | 1585 Kingston St, Aurora, CO 80010-2504 | 2020-10-07 |
1689298465 | Taija Thomas | Counselor | 4609 S Laredo St, Aurora, CO 80015-1449 | 2020-06-08 |
1568090439 | Sarah Eleanor Heiser | Counselor | 3238 S Yampa Way Unit A, Aurora, CO 80013-6489 | 2020-03-27 |
1063048460 | Sarah Stewart | Counselor | 13123 E 16th Ave # B300, Aurora, CO 80045-7106 | 2020-03-17 |
1265070155 | Brooke Patton | Counselor | 4977 S Ukraine St, Aurora, CO 80015-6788 | 2019-12-11 |
1548813140 | Olabisi O Iranloye | Counselor | 1436 Foxcroft Dr, Aurora, IL 60506-1252 | 2019-07-23 |
1295391316 | Kristine Sims | Counselor | 4747 S Liverpool Cir, Aurora, CO 80015-6697 | 2019-05-14 |
1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
1841783230 | Gabrielle Carmely | Counselor | 16380 E 14th Place, Aurora, CO 80011 | 2018-06-11 |
1972095057 | Samantha Marshall | Counselor | 6240 S Main St Ste 265, Aurora, CO 80016-5412 | 2018-06-04 |
Find all providers in AURORA |
Please comment or provide details below to improve the information on KELLY LYNN MOORE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.