Individual provider Active NPI

Mario Moraga, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Morganton, NC
National Provider Identifier
1326286162
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
600 Issued in NC
Practice address
712 Jamestown Rd
Morganton, NC 28655-9216
Phone
(828) 608-0593
Fax
(828) 608-0594
NPI assigned
Feb 2, 2009
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 600 NC Primary

Addresses

Primary practice location

712 Jamestown Rd
Morganton, NC 28655-9216

Mailing address

712 Jamestown Rd
Morganton, NC 28655-9216
Phone (828) 608-0593

Other practice location 1

356 Biltmore Ave
Asheville, NC 28801-4504
Phone (828) 254-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240503000836 NC Practitioner - Mental Health Counselor 9537509815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
600NCMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
My Next Steps of Morganton, LLC Addiction (Substance Use Disorder) CurrentSince Feb 13, 2024 Accepting new patients

Locations

712 Jamestown Rd
Morganton, NC 28655
Phone (828) 430-9120

Organizations & group practices 1

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": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1326286162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 JAMESTOWN RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286559216",
            "telephone_number": "828-608-0593",
            "fax_number": "828-608-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 JAMESTOWN RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286559216",
            "telephone_number": "828-608-0593",
            "fax_number": "828-608-0594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "356 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014504",
            "country_code": "US",
            "telephone_number": "828-254-5008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAGA",
        "first_name": "MARIO",
        "credential": "LCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.