Kelly Lynn Moore, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A8816 Issued in NC

Practice address

813 S Oakland St Ste a
Gastonia, NC 28054-0474

Phone

(704) 868-4132

NPI assigned

Sep 12, 2012

Last updated

Sep 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1083964498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 NASSAU BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282053025",
            "telephone_number": "704-451-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 S OAKLAND ST STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540474",
            "telephone_number": "704-868-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A8816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Christine Moore, M.A., CCC-SLP
• Heather Elaine Moore
• Jacob L Moore, MSW,LCSWA
• Jeremy Scott Moore, MPHA
• Jessica Moore
• Leesha Moore
• Lisa Hamilton Moore, PHARM D
• Melissa I Moose, LC SW
• Victoria Mora Santos
• Yessenia Guadalupe Morales Saldana, BSN,RN

• Mental Health Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.