1. Home
  2. Directory
  3. Washington
  4. Vancouver
  5. Marriage Family Therapist
  6. NPI Profile

KELLY ANNE MOEN
NPI 1255050704
Marriage & Family Therapist in Vancouver, WA

Active since August 26, 2022
1404 NE 134TH ST STE 290, VANCOUVER, WA 98685(360) 606-9099 Get Directions Write a Review

NPPES record last updated: March 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2026, Feb 7, 2026, Aug 26, 2022 (3 updates tracked since 2022).

About Kelly Anne Moen NPPES

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

KELLY ANNE MOEN (NPI 1255050704) is an individual marriage & family therapist in Vancouver, Washington, licensed in Washington (LF70068506) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1255050704
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY ANNE MOEN
Location Address1404 NE 134TH ST STE 290Vancouver, WA 98685-2799
Mailing AddressPo Box 56572Portland, OR 97238-6572 · (360) 606-9099
Phone(360) 606-9099
Sole ProprietorNo
Enumeration DateAugust 26, 2022
Last NPPES UpdateMarch 14, 20263 updates tracked since enumeration
NPPES CertifiedMarch 14, 2026
✔ NPI 1255050704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in WA · LF70068506
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1404 NE 134TH ST STE 290, Vancouver, WA 98685
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

MICHELLE TOBIN
Counselor (Mental Health)
1404 NE 134TH ST STE 290
VANCOUVER, WA 98685
Clark County (360) 207-1957
BETTER TOGETHER COUNSELING VANCOUVER PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1404 NE 134TH ST STE 290
VANCOUVER, WA 98685
Clark County (360) 606-9099

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 Moen's NPI number?

The NPI number for Kelly Moen is 1255050704. It was assigned to this individual provider in the NPPES registry on August 26, 2022.

Where is Kelly Moen located?

Kelly Moen practices at 1404 NE 134th St Ste 290, Vancouver, WA 98685. The listed phone number is (360) 606-9099.

What is Kelly Moen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Kelly Moen was last updated on March 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.