KELSEY MOON MA, LPC
NPI 1891385266
Counselor - Professional in Green Bay, WI

Q: What is Kelsey Moon's NPI number?

The NPI number for Kelsey Moon is 1891385266. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Q: What is Kelsey Moon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelsey Moon was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 20, 2021

4551 SHAWANO AVE, GREEN BAY, WI 54313(715) 927-0889 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2025, Jan 20, 2021 (2 updates tracked since 2021).

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About Kelsey Moon Ma, Lpc NPPES

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

KELSEY MOON MA, LPC (NPI 1891385266) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (11406-125) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1891385266

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKELSEY MOONCredential: MA, LPC

Location Address4551 SHAWANO AVEGreen Bay, WI 54313-7552

Mailing Address4551 Shawano AveGreen Bay, WI 54313-7552 · (159) 270-8897

Phone(715) 927-0889

Sole ProprietorNo

Enumeration DateJanuary 20, 2021

Last NPPES UpdateJune 5, 20252 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1891385266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 11406-125

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 4852-226 (WI)

4551 SHAWANO AVE, Green Bay, WI 54313

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

MOON COUNSELING LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

4551 SHAWANO AVE
GREEN BAY, WI 54313

Brown County (715) 927-0889

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 Kelsey Moon's NPI number?

The NPI number for Kelsey Moon is 1891385266. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Kelsey Moon located?

Kelsey Moon practices at 4551 Shawano Ave, Green Bay, WI 54313. The listed phone number is (715) 927-0889.

What is Kelsey Moon's specialty?

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

What insurance does Kelsey Moon accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Kelsey Moon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelsey Moon was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.