Active NPI
Julia S Moore, LPC
- Professional Counselor
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3800
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 637 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1194710426
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457745952
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1548528714
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1558946376
-
- Federally Qualified Health Center (FQHC)
- Union, SC
- NPI 1982248852
-
- Federally Qualified Health Center (FQHC)
- Gaffney, SC
- NPI 1245409846
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457061087
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.