Deep Lake Counseling
NPI 1518834308ActiveOrganization· Counselor, Mental Health· Shelton, WA
Counselor, Mental Health in Shelton, Washington, registered in NPPES in October 2025. The authorized official on file is Kristin Moore, MAC, MED, MPA, LMHC, Owner.
Overview
| NPI | 1518834308 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2025 |
| Last updated in NPPES | Oct 17, 2025 |
| Certified by provider | Oct 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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