Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144766221 Individual Practitioner Female Practitioner

Kyle Kathleen Moon

Counselor • The Dalles, OR

Professional Overview & Biography Verified Profile Summary

Kyle Moon is a registered healthcare professional specializing in Counselor in The Dalles, OR. Practice services are available at 3601 W 10TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3601 W 10th St

The Dalles, OR 970584377

Telephone 5032349591
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in The Dalles, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
12 Specialists

Practicing in The Dalles, OR (4551 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-15
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Secondary Practice Locations

500 Fairway Dr Ste 102

Deerfield Beach, FL 334411817

Phone: 8774182978

1260 Morena Blvd

San Diego, CA 921103889

Phone: 6193980355

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amy Hetlage , MSW

Social Worker

NPI 1003186636

Master of Social Work

Chelsea Young

Counselor

NPI 1003189770
Micaela Busack

Case Manager/Care Coordinator

NPI 1003268640
Devan Compton

Counselor - Mental Health

NPI 1003285644
NPI 1003441940
NPI 1003483496

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 15, 2023

Registered at 3601 W 10TH ST, THE DALLES, OR 970584377 (Tel: 5032349591)

📍
Updated Business Mailing Address September 15, 2023

Registered at 3415 SE POWELL BLVD, PORTLAND, OR 972023371 (Tel: 5032349591)

📍
Updated Practice Location January 09, 2023

Registered at 500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 334411817 (Tel: 8774182978)

📍
Updated Business Mailing Address January 09, 2023

Registered at 500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 334411817 (Tel: 8774182978)

NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2017

Registered at 1260 MORENA BLVD, SAN DIEGO, CA 921103889 (Tel: 6193980355)

📍
Updated Business Mailing Address January 19, 2017

Registered at 1260 MORENA BLVD, SAN DIEGO, CA 921103889 (Tel: 6193980355)

👤
Provider Name / Credentials Updated January 19, 2017

Recorded as KYLE MOON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Counselor

🟢
Initial NPI Registration & Enumeration January 12, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kyle Moon. Be the first to share your experience!

Sign in to leave a review for Kyle Moon

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1144766221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2017
Last Update: September 15, 2023
Sole Proprietor: No

Mailing Address

3415 Se Powell Blvd

Portland, OR 972023371

Phone: 5032349591

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.