Individual provider Active NPI

Kelly Dunn Moloney, MA,LMHC,CMHS

  • Mental Health Counselor
  • Anacortes, WA
National Provider Identifier
1427207935
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60270951 Issued in WA
Practice address
601 O Ave
Anacortes, WA 98221
Phone
(360) 630-8427
Fax
(360) 899-5370
NPI assigned
Sep 9, 2008
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 60270951 WA Primary

Addresses

Primary practice location

601 O Ave
Anacortes, WA 98221

Mailing address

601 O Ave
Anacortes, WA 98221-1753
Phone (360) 755-3474

Other identifiers 1

IdentifierTypeStateIssuer
2095639MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429003095 WA Practitioner - Mental Health Counselor 2961842604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardon and AssociatesGroup PAC ID 5193151033, 4 clinicians

Practice addresses (Care Compare)

601 O Ave
Anacortes, WA 98221-1753
Phone (360) 755-3474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
60270951WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cardon and Associates CurrentSince Mar 20, 2024 Accepting new patients

Locations

601 O Ave
Anacortes, WA 98221
Phone (360) 293-2808

601 O Ave
Ste B
Anacortes, WA 98221
Phone (360) 755-3474

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1427207935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 O AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211753",
            "telephone_number": "360-755-3474",
            "fax_number": "877-241-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 O AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "98221",
            "telephone_number": "360-630-8427",
            "fax_number": "360-899-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLONEY",
        "first_name": "KELLY",
        "middle_name": "DUNN",
        "name_prefix": "Ms.",
        "credential": "MA,LMHC,CMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60270951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2095639",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.