Amber Moore, LCAS, SAP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

22505 Issued in NC

Practice address

822 Old Winston Rd
Suite 5
Kernersville, NC 27284

Phone

(336) 558-0219

NPI assigned

Jan 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ascension Therapy Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Lebanon, OH
  • NPI 1508420357
  NPD Authorized official

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1144686593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 OLD WINSTON RD",
            "address_2": "SUITE 5",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847106",
            "telephone_number": "336-558-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 OLD WINSTON RD",
            "address_2": "SUITE 5",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "27284",
            "telephone_number": "336-558-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMBER",
        "credential": "LCAS, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "22505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Miles Mobley, DC
• Mockingbird Nutrition Counseling L.L.C.
• Courtney Monde
• Monolias Care and Consulting Services LLC
• Shawanna Nicole Moore-Geter, LCMHC
• Jeremy Moore
• Lisa Tingen Moore, NP
• Lynn Chorey Moore Sr., PHARMD
• Mary Patricia Moore, M.D.
• Megan Moore

• Addiction (Substance Use Disorder) Counselor in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.