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KYLE KATHLEEN MOON
NPI 1144766221
Counselor in The Dalles, OR

Active since January 12, 2017
3601 W 10TH ST, THE DALLES, OR 97058(503) 234-9591 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2023, Jan 19, 2017, Jan 12, 2017 (3 updates tracked since 2017).

About Kyle Kathleen Moon NPPES

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

KYLE KATHLEEN MOON (NPI 1144766221) is an individual counselor in The Dalles, Oregon and active in the NPI registry since January 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144766221
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKYLE KATHLEEN MOON
Location Address3601 W 10TH STThe Dalles, OR 97058-4377
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (503) 234-9591
Phone(503) 234-9591
Sole ProprietorNo
Enumeration DateJanuary 12, 2017
Last NPPES UpdateSeptember 15, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2023
✔ NPI 1144766221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3601 W 10TH ST, The Dalles, OR 97058
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Secondary Practice Locations 2

Location 1500 Fairway Dr Ste 102Deerfield Beach, FL 33441-1817 · Phone (877) 418-2978 · Fax (866) 500-2186
Location 21260 Morena BlvdSan Diego, CA 92110-3889 · Phone (619) 398-0355

Other Providers at the Same Location NPPES 15

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

SHEILA M BLACKBURN
Counselor (Mental Health)
3601 W 10TH ST
THE DALLES, OR 97058
Wasco County (503) 234-9591
JAMIE DAVIS
Counselor (Mental Health)
3601 W 10TH ST
THE DALLES, OR 97058
Wasco County (541) 506-3449
JAMMIE NIZ
Counselor
3601 W 10TH ST
THE DALLES, OR 97058
Wasco County (503) 234-9591
MRS. DAWN MICHELLE MCDONALD
Counselor
3601 W 10TH ST
THE DALLES, OR 97058
Wasco County (458) 854-4966
MID-COLUMBIA CENTER FOR LIVING
Community/Behavioral Health
3601 W 10TH ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
JEFFREY CARRELL
Case Manager/Care Coordinator
3601 W 10TH ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
SIDNEY MARIE HOLT
Counselor
3601 W 10TH ST
THE DALLES, OR 97058
Wasco County (503) 234-9591
TYLER BURKART
Counselor
3601 W 10TH ST
THE DALLES, OR 97058
Wasco County (541) 506-3410

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 Kyle Moon's NPI number?

The NPI number for Kyle Moon is 1144766221. It was assigned to this individual provider in the NPPES registry on January 12, 2017.

Where is Kyle Moon located?

Kyle Moon practices at 3601 W 10th St, The Dalles, OR 97058. The listed phone number is (503) 234-9591.

What is Kyle Moon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kyle Moon was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.