KELSEY LYNN MORA CCLS LCPC NPI 1871068783

NPI Information

NPI: 1871068783
Provider Name: KELSEY LYNN MORA, CCLS, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
400 CENTRAL AVE STE 250
NORTHFIELD, IL
ZIP 60093
Phone: (402) 650-0656
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Kelsey Lynn Mora, CCLS, LCPC is a mental health counselor in Northfield, IL. Kelsey Lynn Mora, CCLS, LCPC NPI is 1871068783. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 CENTRAL AVE STE 250
NORTHFIELD, IL
ZIP 60093-024
Phone: (402) 650-0656

The enumeration date for this NPI number is 10/6/2018 and was last updated on 12/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		21412	ILLINOIS	No
2	101YM0800X	Counselor	Mental Health	180.014683	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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