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

Mrs. Shannon Smith Moeller, LPCA

Individual provider Mental Health Counselor · NPI 1790557122

Mrs. Shannon Smith Moeller, LPCA is a Mental Health Counselor in Georgetown, Kentucky. Licensed in Kentucky. Registered with an NPI since 2023.

Licensed in
KY
In the registry since
2023

Practice location Address checks out

105 S Hamilton St
Georgetown, KY 40324-1607
Phone: (502) 642-8046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 279690 (KY)

Record details

NPI number1790557122
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCA
Sole proprietorNo
NPI enumeratedOctober 30, 2023
Last updated in NPPESOctober 30, 2023
Certification dateOctober 28, 2023

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