Individual provider Active NPI

Kristen Moehrle, LPC

  • Counselor
  • Flagstaff, AZ
National Provider Identifier
1114712528
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-23819 Issued in AZ
Practice address
16 E Route 66 Ste 203
Flagstaff, AZ 86001-5777
Phone
(928) 606-2907
NPI assigned
Apr 14, 2025
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-23819 AZ Primary

Addresses

Primary practice location

16 E Route 66 Ste 203
Flagstaff, AZ 86001-5777

Mailing address

16 E Route 66 Ste 203
Flagstaff, AZ 86001-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-23819AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Flagtown Therapy, LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

16 E Route 66
Ste 203
Flagstaff, AZ 86001
Phone (928) 606-2907

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1114712528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E ROUTE 66 STE 203",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E ROUTE 66 STE 203",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015777",
            "telephone_number": "928-606-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEHRLE",
        "first_name": "KRISTEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-23819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.