Sonya Glyn Moore, M.S. , LADAC II

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

LDC0000001260 Issued in TN

Practice address

400 W 1St North St Ste D
Morristown, TN 37814-4617

Phone

(828) 335-2310

Fax

(423) 266-5101

NPI assigned

Nov 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Joyful Life Counseling LLC

  • Marriage & Family Therapist
  • Morristown, TN
  • NPI 1164957908
  Medicare reassignment NPD Authorized official
• Kevin Catney, MD PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Morristown, TN
  • NPI 1588380430
  NPD
• Holston United Methodist Home for Children, Inc.

  • Clinical Social Worker
  • Greeneville, TN
  • NPI 1730228776
  NPD (past)
• Excel Sleep Center, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Hendersonville, NC
  • NPI 1104148055
  NPD (past)

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1255736153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378141023",
            "telephone_number": "828-335-2310",
            "fax_number": "423-266-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 1ST NORTH ST STE D",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378144617",
            "telephone_number": "828-335-2310",
            "fax_number": "423-266-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Holston Dr",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377433126",
            "country_code": "US",
            "telephone_number": "423-638-4171",
            "fax_number": "423-638-7171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SONYA",
        "middle_name": "GLYN",
        "credential": "M.S. , LADAC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "LDC0000001260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028453",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Montgomery, H.I.S.
• Zinamong Monzon-Benavides, DDS
• Edward Herbert Moody Jr., DDS
• Kimberly Moore, ARNP
• Richard Bruce Moore, PA
• Dana Phillips Moreland, FNP
• Dana Morelock
• Jessica A Morelock, OTR/L
• Halie Morgan, BS
• Victoria Morgan

• Addiction (Substance Use Disorder) Psychologist in Morristown, TN
• Providers in Morristown, TN by specialty
• Addiction (Substance Use Disorder) Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.