NPIMap

Organization Active NPI

Key Counseling PLLC

  • Mental Health Counselor
  • Lacey, WA
National Provider Identifier
1144059395
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KEY COUNSELING PLLC
Practice address
719 Sleater Kinney Rd SE Ste 212
Lacey, WA 98503-1138
Phone
(360) 509-0724
Fax
(360) 584-9048
NPI assigned
Jul 27, 2024
Last updated
Jul 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Authorized official

Name
Dr. Kristen Lee Moore, EDD, LMHCNPI 1780070888
Title
Therapist/Owner
Phone
(618) 975-0758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

719 Sleater Kinney Rd SE Ste 212
Lacey, WA 98503-1138

Mailing address

505 W Harvard Ave
Shelton, WA 98584-3747
Phone (360) 509-0724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241022001811 WA Part B Supplier - Clinic/Group Practice 0143752675 Receives reassigned benefits from 1 practitioner
Practice locations: Lacey, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1144059395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W HARVARD AVE",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843747",
            "telephone_number": "360-509-0724",
            "fax_number": "360-584-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SLEATER KINNEY RD SE STE 212",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031138",
            "telephone_number": "360-509-0724",
            "fax_number": "360-584-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "618-975-0758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.