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KELLYN DESIREE MOORE B.S.
NPI 1902179211
Counselor - Mental Health in Reno, NV

Active since February 16, 2012
1101 W MOANA LN, SUITE 2, RENO, NV 89509(775) 337-2394(775) 337-9570 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kellyn Desiree Moore B.s. NPPES

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

KELLYN DESIREE MOORE B.S. (NPI 1902179211) is an individual mental health provider in Reno, Nevada and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1902179211
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLYN DESIREE MOORECredential: B.S.
Location Address1101 W MOANA LN, SUITE 2Reno, NV 89509-4775
Mailing Address3680 Meeks WayReno, NV 89503-1962 · (775) 815-8545
Phone(775) 337-2394
Fax(775) 337-9570
Sole ProprietorNo
Enumeration DateFebruary 16, 2012
Last NPPES UpdateMarch 21, 2012
✔ NPI 1902179211 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
Also ListedBehavior AnalystTaxonomy 103K00000X
1101 W MOANA LN, Reno, NV 89509
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Other Providers at the Same Location NPPES 20

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

BRYAN DASELER
Behavior Analyst
1101 W MOANA LN, SUITE 2
RENO, NV 89509
Washoe County (775) 337-2394
DEAN MICHAEL MCCORKLE CADC INTERN
Behavior Analyst
1101 W MOANA LN, SUITE #2
RENO, NV 89509
Washoe County (775) 337-2394
HEATHER DAWN CUSICK
Behavior Analyst
1101 W MOANA LN, SUITE 2
RENO, NV 89509
Washoe County (775) 337-2394
MISS ROSEMARY EBNER
Behavior Analyst
1101 W MOANA LN
RENO, NV 89509
Washoe County (775) 337-2394
ALLIANCE FAMILY SERVICES NORTH, INC.
Home Health
1101 W MOANA LN
RENO, NV 89509
Washoe County (208) 265-5049
COREY MITCHELL
Behavior Analyst
1101 W MOANA LN, SUITE 2
RENO, NV 89509
Washoe County (775) 337-2394
MS. EMILY M WINNER B.S., M.A.T.
Counselor (Mental Health)
1101 W MOANA LN, SUITE 2
RENO, NV 89509
Washoe County (775) 337-2394
ROSANA HILL-THOMAS
Counselor (Mental Health)
1101 W MOANA LN, SUITE 2
RENO, NV 89509
Washoe County (775) 337-2394

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 Kellyn Moore's NPI number?

The NPI number for Kellyn Moore is 1902179211. It was assigned to this individual provider in the NPPES registry on February 16, 2012.

Where is Kellyn Moore located?

Kellyn Moore practices at 1101 W Moana Ln Suite 2, Reno, NV 89509. The listed phone number is (775) 337-2394.

What is Kellyn 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 Kellyn Moore was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.