Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelli Moore, LPCC

Individual provider Social Worker · NPI 1770195380

Kelli Moore, LPCC is a Mental Health Counselor in Las Vegas, New Mexico. Qualified in 2018, 8 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
8
Licensed in
NM
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1622 7th St
Las Vegas, NM 87701-4920
Phone: (505) 310-7280
Fax: (505) 425-5408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CTB-2023-0541 (NM)
Social Worker Taxonomy 104100000X · Licence CSA0211311 (NM)

Record details

NPI number1770195380
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorYes
NPI enumeratedAugust 17, 2020
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023
Mailing address1622 7th St, Las Vegas, NM 87701-4920

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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