MRS. AMY MOEN NPI 1790299527

NPI Information

NPI: 1790299527
Provider Name: MRS. AMY MOEN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4529 STOVER ST
FORT COLLINS, CO
ZIP 80525
Phone: (303) 815-3988
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MRS. Amy Moen is a mental health counselor in Fort Collins, CO. MRS. Amy Moen NPI is 1790299527. 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:

4529 STOVER ST
FORT COLLINS, CO
ZIP 80525
Phone: (303) 815-3988

The enumeration date for this NPI number is 12/1/2017 and was last updated on 7/25/2019.

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	101YM0800X	Counselor	Mental Health	LPC30014160	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9000155525	MEDICAID	COLORADO

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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