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KELLI MOORE LPCC
NPI 1770195380
Counselor - Mental Health in Las Vegas, NM

Active since August 17, 2020PECOS EnrolledAccepts Medicare Assignment
1622 7TH ST, LAS VEGAS, NM 87701(505) 310-7280(505) 425-5408 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2023, Aug 17, 2020 (2 updates tracked since 2020).

About Kelli Moore Lpcc NPPES

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

KELLI MOORE LPCC (NPI 1770195380) is an individual mental health provider in Las Vegas, New Mexico, licensed in New Mexico (CTB-2023-0541) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770195380
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLI MOORECredential: LPCC
Location Address1622 7TH STLas Vegas, NM 87701-4920
Mailing Address1622 7th StLas Vegas, NM 87701-4920 · (505) 310-7280
Phone(505) 310-7280
Fax(505) 425-5408
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 17, 2020
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
✔ NPI 1770195380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · CTB-2023-0541
Also ListedSocial WorkerTaxonomy 104100000X · License CSA0211311 (NM)
1622 7TH ST, Las Vegas, NM 87701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelli Moore Lpcc 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.

PECOS PAC ID3476085069
PECOS Enrollment IDI20241021003919
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.

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.

SUSAN B MULLEN LPC
Counselor (Professional)
1622 7TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 757-2898
FRANCES CAROLE CIULLA
Counselor (Mental Health)
1622 7TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 454-8265
MOORE THERAPY & WELLNESS LLC
Counselor (Mental Health)
1622 7TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 652-5386

Frequently Asked Questions

What is Kelli Moore's NPI number?

The NPI number assigned to this healthcare provider is 1770195380, enumerated as an "individual" on August 17, 2020.

Where is the provider located?

The provider is located at 1622 7TH ST LAS VEGAS, NM 87701 and the phone number is (505) 310-7280.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.