David Isaac Moore, LPC, NCC, ADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

208 E 1St Ave
Easley, SC 29640-3039

Phone

(864) 898-5800

Fax

(864) 898-5804

NPI assigned

Jun 21, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• David Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pickens County Commission on Alcohol & Drug Abuse

  dba Behavioral Health Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Easley, SC
  • NPI 1134127475
  NPD (past)
• Pickens County Commission on Alcohol & Drug Abuse

  dba Behavioral Health Services of Pickens County

  • Addiction Medicine (Family Medicine) Physician
  • Easley, SC
  • NPI 1467207209
  NPD (past)
• Marion County

  dba Marion County Health Department

  • Adult Mental Health Clinic/Center
  • Salem, OR
  • NPI 1528147782
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1023502085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E 1ST AVE",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403039",
            "telephone_number": "864-898-5800",
            "fax_number": "864-898-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 1ST AVE",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403039",
            "telephone_number": "864-898-5800",
            "fax_number": "864-898-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAVID",
        "middle_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "LPC, NCC, ADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122994",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "MOORE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• MMRX of Easley Inc (Friersons Drug Store)
• Gary Mobley
• Melanie Lynn Mole, FNP-C
• Stephanie Moller
• Hannah Molloseau
• Elizabeth Adair Moore
• Kim Jean Moore, ED.S.
• Wenda Sullins Moore, RN
• Joshua Alan Morowitz, MD
• Angela Morris

• Mental Health Counselor in Easley, SC
• Providers in Easley, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.