1. Home
  2. Directory
  3. Washington
  4. Spokane
  5. Counselor
  6. NPI Profile

KAHLIL ETHAN WILSON-MOORE
NPI 1972170306
Counselor in Spokane, WA

Active since June 04, 2021
107 S DIVISION ST, SPOKANE, WA 99202(509) 838-4651 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2021, Jun 4, 2021 (2 updates tracked since 2021).

About Kahlil Ethan Wilson-moore NPPES

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

KAHLIL ETHAN WILSON-MOORE (NPI 1972170306) is an individual counselor in Spokane, Washington, licensed in Washington (GC61187844) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1972170306
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKAHLIL ETHAN WILSON-MOORE
Location Address107 S DIVISION STSpokane, WA 99202-1510
Mailing Address107 S Division StSpokane, WA 99202-1510 · (509) 838-4651
Phone(509) 838-4651
Sole ProprietorNo
Enumeration DateJune 4, 2021
Last NPPES UpdateJune 24, 20212 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1972170306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · GC61187844
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
107 S DIVISION ST, Spokane, WA 99202
Open in Google Maps ↗

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.

JAMIE ANN WAGLEY BSN, RN
Registered Nurse
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MICHAEL ROBERT SULLIVAN MSW
Social Worker
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MRS. EMMA ELIZABETH MANNHALT
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MRS. JACQUELINE CLARISSA HOWARD
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
CLAUDIA ELIZABETH MIMNA
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MR. JASON HALL MACKEY
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MELISSA RENEE WATSON
Social Worker
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
ALLAN D SANDERS MN ARNP
Nurse Practitioner (Family)
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651

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 Kahlil Wilson-moore's NPI number?

The NPI number for Kahlil Wilson-moore is 1972170306. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Kahlil Wilson-moore located?

Kahlil Wilson-moore practices at 107 S Division St, Spokane, WA 99202. The listed phone number is (509) 838-4651.

What is Kahlil Wilson-moore's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kahlil Wilson-moore was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.