Active NPI
Steven Charles Moore, LCSW
- Mental Health Counselor
- Durham, NC
National Provider Identifier
1114181351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C008798
- Practice address
- 4 Hanska CT
Durham, NC 27713-8604 - Phone
- (703) 405-9895
- NPI assigned
- Jul 16, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 06294 | MD | |
| Mental Health Counselor | 101YM0800X | C008798 | NC | Primary |
Addresses
Primary practice location
4 Hanska CT
Durham, NC 27713-8604
Mailing address
4 Hanska CT
Durham, NC 27713-8604
Phone (703) 405-9895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 5, 2024 through Jan 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C008798 | NC | MD | Mental Health Counselor |
| 06294 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1114181351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 HANSKA CT",
"city": "DURHAM",
"state": "NC",
"postal_code": "277138604",
"telephone_number": "703-405-9895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 HANSKA CT",
"city": "DURHAM",
"state": "NC",
"postal_code": "277138604",
"telephone_number": "703-405-9895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "STEVEN",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "06294",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "C008798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.