Individual provider Active NPI

Julia S Moore, LPC

  • Professional Counselor
  • Spartanburg, SC
National Provider Identifier
1114953288
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3800 Issued in SC
Practice address
460 Langdon St
Spartanburg, SC 29302-1614
Phone
(864) 582-2411
Fax
(864) 764-1336
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 637 SC
Professional Counselor 101YP2500X 3800 SC Primary

Addresses

Primary practice location

460 Langdon St
Spartanburg, SC 29302-1614

Mailing address

PO Box 5158
Spartanburg, SC 29304-5158

Other practice location 1

220 Irby St
Woodruff, SC 29388-1618
Phone (864) 582-2411

Other practice location 2

301 Crescent Ave
Spartanburg, SC 29306-4143
Phone (864) 596-8442

Other practice location 3

750 S Church St
Spartanburg, SC 29306-5348
Phone (864) 582-2829

Other practice location 4

1341 N Limestone St
Gaffney, SC 29340-4733
Phone (864) 582-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240411001602 SC Practitioner - Mental Health Counselor 6901245893 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
637SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center CurrentSince Mar 2, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Mar 2, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Mar 2, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Mar 2, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Mar 2, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Mar 2, 2024 Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients

Locations

1341 N Limestone St
Gaffney, SC 29340
Phone (864) 489-3300

301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

115 Thomas St
#B
Union, SC 29379

220 Irby St
Woodruff, SC 29388
Phone (864) 476-2731

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1114953288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5158",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293045158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 LANGDON ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021614",
            "telephone_number": "864-582-2411",
            "fax_number": "864-764-1336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Irby St",
            "address_purpose": "LOCATION",
            "city": "Woodruff",
            "state": "SC",
            "postal_code": "293881618",
            "country_code": "US",
            "telephone_number": "864-582-2411",
            "fax_number": "864-670-9414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Crescent Ave",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293064143",
            "country_code": "US",
            "telephone_number": "864-596-8442",
            "fax_number": "864-596-8445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 S Church St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293065348",
            "country_code": "US",
            "telephone_number": "864-582-2829",
            "fax_number": "864-582-7178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1341 N Limestone St",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293404733",
            "country_code": "US",
            "telephone_number": "864-582-2411",
            "fax_number": "864-487-8734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JULIA",
        "middle_name": "S",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "637",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "3800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.