Individual provider Active NPI

Alicia Mae Moran, LPCC, LPC, LMHC

  • Professional Counselor
  • Maysville, KY
National Provider Identifier
1114253150
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC200001819 Issued in DC
Practice address
4010 Impasse LN
Maysville, KY 41056-8869
Phone
(606) 934-1061
NPI assigned
Oct 27, 2009
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC200001819 DC Primary
Professional Counselor 101YP2500X 0701013848 VA
Professional Counselor 101YP2500X 20927 NC
Professional Counselor 101YP2500X MH22068 FL
Professional Counselor 101YP2500X E-800517 OH
Professional Counselor 101YP2500X 8815 SC
Professional Counselor 101YP2500X LPC-22180 AZ
Professional Counselor 101YP2500X LPC015239 GA

Addresses

Primary practice location

4010 Impasse LN
Maysville, KY 41056-8869

Mailing address

4010 Impasse LN
Maysville, KY 41056-8869
Phone (606) 934-1061

Other names 1

  • Dr. Alicia Mae Greene Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219002887 OH Practitioner - Mental Health Counselor 8820212988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-22180AZMDProfessional Counselor
PRC200001819DCMDProfessional Counselor
MH22068FLMDProfessional Counselor
E-800517OHMDProfessional Counselor
0701013848VAMDProfessional Counselor
20927NCMDPharmacist
8815SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Organics LLC CurrentSince Feb 5, 2024 Accepting new patients
Cognitive Organics LLC CurrentSince Feb 5, 2024 Accepting new patients

Locations

2637 Tusky Valley Rd NE
Zoarville, OH 44656
Phone (330) 859-2213

263 Rainbow Dr
#16343
Livingston, TX 77399

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1114253150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 IMPASSE LN",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568869",
            "telephone_number": "606-934-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 IMPASSE LN",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568869",
            "telephone_number": "606-934-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "ALICIA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "LPCC, LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC200001819",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013848",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "20927",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH22068",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-800517",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8815",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-22180",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "GREENE",
            "middle_name": "MAE",
            "prefix": "DR.",
            "credential": "LPCC, LPC, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.