| Kelli Moore, LPCC | |
|
1622 7th St, Las Vegas, NM 87701-4920 | |
| (505) 310-7280 | |
| (505) 425-5408 |
| Full Name | Kelli Moore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 1622 7th St, Las Vegas, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770195380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CTB-2023-0541 (New Mexico) | Primary |
| 104100000X | Social Worker | CSA0211311 (New Mexico) | Secondary |
| Entity Name | Moore Therapy & Wellness LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114609849 PECOS PAC ID: 0941732531 Enrollment ID: O20241021003637 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Moore, LPCC 1622 7th St, Las Vegas, NM 87701-4920 Ph: (505) 310-7280 | Kelli Moore, LPCC 1622 7th St, Las Vegas, NM 87701-4920 Ph: (505) 310-7280 |
Tomasita Jasmine Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 University Ave, Las Vegas, NM 87701 Phone: 505-454-8265 Fax: 505-454-8268 |
Tiffany Monique Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 University Ave, Las Vegas, NM 87701 Phone: 505-454-8265 |
Mrs. Maria L Vigil, LPCC, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2301 7th St, Las Vegas, NM 87701 Phone: 505-454-9611 |
Damien Derego, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1235 8th St, Las Vegas, NM 87701 Phone: 505-426-6788 |
Christi Anne Pickren, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Airport Rd, Las Vegas, NM 87701 Phone: 505-454-9738 Fax: 505-425-9285 |
Serafin Lopez, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2503 Ridge Runner Rd, Las Vegas, NM 87701 Phone: 505-454-8265 |
Mark L Ortega, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 University Ave, Las Vegas, NM 87701 Phone: 505-454-8265 |