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KENDRA MOULTRIE-BELK LCPC
NPI 1316615255
Counselor - Professional in Peoria, IL

Active since September 04, 2021PECOS Enrolled
2139 SW ADAMS ST, PEORIA, IL 61602(309) 453-6257 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendra Moultrie-belk Lcpc NPPES

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

KENDRA MOULTRIE-BELK LCPC (NPI 1316615255) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180.013808) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316615255
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKENDRA MOULTRIE-BELKCredential: LCPC
Location Address2139 SW ADAMS STPeoria, IL 61602-1801
Mailing Address2139 Sw Adams StPeoria, IL 61602-1801
Phone(309) 453-6257
Sole ProprietorYes
Enumeration DateSeptember 4, 2021
Last NPPES UpdateSeptember 1, 2023
NPPES CertifiedSeptember 1, 2023
✔ NPI 1316615255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.013808
2139 SW ADAMS ST, Peoria, IL 61602
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Other Identifiers 1

Other180.013808IL · License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Moultrie-belk Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Kendra Moultrie-belk's NPI number?

The NPI number for Kendra Moultrie-belk is 1316615255. It was assigned to this individual provider in the NPPES registry on September 4, 2021.

Where is Kendra Moultrie-belk located?

Kendra Moultrie-belk practices at 2139 SW Adams St, Peoria, IL 61602. The listed phone number is (309) 453-6257.

What is Kendra Moultrie-belk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kendra Moultrie-belk enrolled in Medicare?

Yes. Kendra Moultrie-belk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kendra Moultrie-belk was last updated on September 1, 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.