KELLY VAN MOEN MS, LLPC
NPI 1134571219
Counselor - Mental Health in Bruce Twp, MI
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Van Moen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clinton Township, MI 48036
- Reassigned Medicare billing, Michigan enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Kelly Van Moen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Van Moen reassigns Medicare benefits to Macomb Family Services, Inc. (Clinton Township, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Van Moen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Kelly Van Moen, MS, LLPC · NPI 1134571219
Mental Health provider in Bruce Twp, Michigan. Individual provider, active in the CMS NPPES registry since July 12, 2016.
## Identity
- **NPI:** 1134571219 (Entity type: Individual)
- **Enumerated:** July 12, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6401015525 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 124 W GATES ST, SUITE 103, Bruce Twp, MI 48065-4494
- **Phone:** (586) 752-6969
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Macomb Family Services, Inc. (NPI 1831190701, Clinton Township, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 12, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1134571219) · Data from the CMS NPPES public registry.