Kelly Marie Moore, ART-BC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015919 Issued in PA

Practice address

5743 Bartlett St
Pittsburgh, PA 15217-1582

Phone

(412) 904-5962

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jewish Family & Childrens Service

  • Community/Behavioral Health Agency
  • Pittsburgh, PA
  • NPI 1528240264
  NPD
• Jewish Family & Childrens Service

  • Community/Behavioral Health Agency
  • Pittsburgh, PA
  • NPI 1669430757

  Professional

  NPD

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1144900101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5743 BARTLETT ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171582",
            "telephone_number": "412-904-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 BARTLETT ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171582",
            "telephone_number": "412-904-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "ART-BC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Moore, MD, MS
• Jonathan Moore, CRNA
• Joseph Moore, MCR
• Julia E Moore, CRNP
• Katherine Moore
• Kimberly Moore, DDS
• Lauren Moore, PA-C
• Leroy C Moore, MD
• Lisa G. Moore, P.T.
• Marchet Moore

• Professional Counselor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.