Active NPI
Norma Moody Faulk, MA, LPC, NCC
- Counselor
- Southern Pines, NC
National Provider Identifier
1043459357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A8224
- Practice address
- 237 W Pennsylvania Ave
Southern Pines, NC 28387-5430 - Phone
- (910) 725-1015
- NPI assigned
- Feb 10, 2009
- Last updated
- May 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A8224 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU |
Addresses
Primary practice location
237 W Pennsylvania Ave
Southern Pines, NC 28387-5430
Mailing address
625 Fairway Dr
Southern Pines, NC 28387-2201
Phone (910) 725-1086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67582H2142L2 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A8224 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1043459357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 FAIRWAY DR",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283872201",
"telephone_number": "910-725-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 W PENNSYLVANIA AVE",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283875430",
"telephone_number": "910-725-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULK",
"first_name": "NORMA",
"middle_name": "MOODY",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-10",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A8224",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "67582H2142L2",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southern Pines, NC
- Chelsea Marie Fairley, PA-C
- Anna Frances Fakadej, MD
- Family & Co Chiropractic, PLLC (The Movement Foundry)
- Mary Alice Farina, NC LMBT
- Walter S Fasolak, DO
- Robert Taffy Faulk, PT
- Christine Fensley
- FHPG, LLC (FirstHealth Concierge Signature Medicine)
- FHPG, LLC (FirstHealth Primary Care-Southern Pines)
- David Carroll Finn, LCAS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.