Kelly Van Moen, MS, LLPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134571219

Kelly Van Moen, MS, LLPC is a Mental Health Counselor in Bruce Twp, Michigan. Qualified in 2016, 10 years ago. Practices with Macomb Family Services Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying: 10
Licensed in: MI
In the registry since: 2016
Specialties on file: 2

What do these letters mean?

MS — Master of Science: A graduate science degree.

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Practice location Address checks out

124 W Gates St Ste 103
Bruce Twp, MI 48065-4494
Phone: (586) 752-6969

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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 6401015525 (MI)
Addiction (Substance Use Disorder) Counselor	Taxonomy 101YA0400X · Licence 6401015525 (MI)

Record details

NPI number	1134571219
Entity type	Individual (Type 1)
Gender	Female
Credentials	MS , LLPC
Sole proprietor	No
NPI enumerated	July 12, 2016
Last updated in NPPES	July 12, 2016

Medicare enrollment

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

Medicare specialty	MENTAL HEALTH COUNSELOR
Medical school	OTHER
Graduated	2016 (10 years in practice)
Group practice	Macomb Family Services Inc — 19 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount