KELLY VAN MOEN MS, LLPC
NPI 1134571219
Counselor - Mental Health in Bruce Twp, MI

Active since July 12, 2016PECOS EnrolledAccepts Medicare Assignment
124 W GATES ST, SUITE 103, BRUCE TWP, MI 48065(586) 752-6969 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Van Moen Ms, Llpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY VAN MOEN MS, LLPC (NPI 1134571219) is an individual mental health provider in Bruce Twp, Michigan, licensed in Michigan (6401015525) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1134571219
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY VAN MOENCredential: MS, LLPC
Location Address124 W GATES ST, SUITE 103Bruce Twp, MI 48065-4494
Mailing Address124 W Gates St, Suite 103Bruce Twp, MI 48065-4494 · (586) 752-6969
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 12, 2016
NPI 1134571219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6401015525
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 6401015525 (MI)
124 W GATES ST, Bruce Twp, MI 48065

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Van Moen Ms, Llpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355879503
PECOS Enrollment IDI20250115002526
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
124 W GATES ST
BRUCE TWP, MI 48065
Social Worker (Clinical)
124 W GATES ST, SUITE 103
BRUCE TWP, MI 48065
Social Worker (Clinical)
124 W GATES ST
BRUCE TWP, MI 48065
Social Worker
124 W GATES ST
BRUCE TWP, MI 48065
In Home Supportive Care
124 W GATES ST, SUITE 103
BRUCE TWP, MI 48065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Van Moen's NPI number?

The NPI number for Kelly Van Moen is 1134571219. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Where is Kelly Van Moen located?

Kelly Van Moen practices at 124 W Gates St Suite 103, Bruce Twp, MI 48065. The listed phone number is (586) 752-6969.

What is Kelly Van Moen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kelly Van Moen enrolled in Medicare?

Yes. Kelly Van Moen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Van Moen accept?

Health plans from Oscar Insurance Company, Priority Health and UnitedHealthcare list Kelly Van Moen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Van Moen was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.