Kelly Moriarty, MS, LLPC, ATC, CSCS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451023168 Issued in MI

Practice address

2950 W Howell Rd
Mason, MI 48854-9329

Phone

(517) 367-0670

NPI assigned

Jan 3, 2019

Last updated

Jul 14, 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 2

Addresses

Other names 1

• Kelly Stobba Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• DBT Institute of Mi

  dba DBT Institute

  • Psychiatric Residential Treatment Facility
  • Mason, MI
  • NPI 1982063889

  Mental Health

  NPD
• DBT Institute of Mi

  dba DBT Institute of Michigan

  • Community/Behavioral Health Agency
  • Mason, MI
  • NPI 1992552905
  NPD

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1346713294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 W HOWELL RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549329",
            "telephone_number": "517-367-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 W HOWELL RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549329",
            "telephone_number": "517-367-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "KELLY",
        "credential": "MS, LLPC, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023168",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "STOBBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Mitts
• Stacy Mitts
• Monarch Counseling LLC
• Matthew Frederick Moreau, LLMSW
• Mariah Morgan, DPT
• Yvonne K Morley, MA, CCC, SLP
• Shelby Morse
• Gary P Mulnix, DDS
• John P Murry, MD
• Myeyedr Optometry of Michigan, LLC (MyEyeDr.)

• Mental Health Counselor in Mason, MI
• Providers in Mason, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.