Kelly R. Moore Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4470 Issued in KS

Legal business name

KELLY R. MOORE THERAPY LLC

Practice address

8826 Santa Fe Dr
Suite 210
Overland Park, KS 66212-3655

Phone

(913) 963-7751

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Kelly R. Moore, MSW, LSCSW

Title

Therapist

Phone

(913) 963-7751

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1285090720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10360 S HOLLIS LN",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617435",
            "telephone_number": "913-963-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8826 SANTA FE DR",
            "address_2": "SUITE 210",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123655",
            "telephone_number": "913-963-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY R. MOORE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "913-963-7751",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven G Keller, DPT
• Betsy Kellerman, ATC, LAT
• Anne Kelley
• Chelsie Kelley
• Dwain E Kelley, PT
• Abigael F Kelly, AUD
• Casandra Joyce Kelly, LCSW
• Catherina Annette Kelly, LSCSW
• Dana Leigh Kelly, MSN-FNP
• Janet Kay Kelly, OTR

• Clinical Social Worker in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.