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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KEEVELA MOORE
NPI 1639090186
Counselor - Mental Health in Roxboro, NC

Active since July 22, 2026
210 N MAIN ST, ROXBORO, NC 27573(336) 647-5313(910) 500-6960 Get Directions Write a Review

NPPES record added: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keevela Moore NPPES

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

KEEVELA MOORE (NPI 1639090186) is an individual mental health provider in Roxboro, North Carolina, licensed in North Carolina (P024079) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1639090186
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKEEVELA MOORE
Location Address210 N MAIN STRoxboro, NC 27573-5325
Mailing Address208 Merritt PlRoxboro, NC 27573-5554 · (919) 452-0667
Phone(336) 647-5313
Fax(910) 500-6960
Sole ProprietorYes
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1639090186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · P024079
210 N MAIN ST, Roxboro, NC 27573
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

HERBERT CLIFFORD BROWN LCSWA
Social Worker (Clinical)
210 N MAIN ST
ROXBORO, NC 27573
Person County (336) 330-8000
PRODIGIOUS HEALTH SERVICES, LLC
Counselor
210 N MAIN ST
ROXBORO, NC 27573
Person County (252) 433-0300
MRS. LAWANDA LEE ANDERSON MA, LPC
Counselor (Mental Health)
210 N MAIN ST
ROXBORO, NC 27573
Person County (336) 330-8000

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 Keevela Moore's NPI number?

The NPI number for Keevela Moore is 1639090186. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Where is Keevela Moore located?

Keevela Moore practices at 210 N Main St, Roxboro, NC 27573. The listed phone number is (336) 647-5313.

What is Keevela Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Keevela Moore was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.