Charles Maurice Moore, MA,LPC,LCAS,NCC,ICAA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

386 Issued in NC

Practice address

1516 Kelly CT
Conover, NC 28613-7801

Phone

(828) 441-0115

NPI assigned

May 7, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346452620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 KELLY CT",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286137801",
            "telephone_number": "828-441-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 KELLY CT",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286137801",
            "telephone_number": "828-441-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHARLES",
        "middle_name": "MAURICE",
        "name_prefix": "Mr.",
        "credential": "MA,LPC,LCAS,NCC,ICAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "386",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "1086",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103410",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mollie Merritt, ATC/ L
• Douglas Michael, M.D.
• Lisa Vollano Michel, P.A.
• David McIver Millsaps, M.D.
• Miss Irene's Speech Therapy P.C.
• Joseph Moore, RPH
• Reece Moose, PA-C
• Brianna Idalis Morales, PA-C
• Jennifer Moore Morehouse, D.M.D.
• James Bradley Moser, R.PH.

• Addiction (Substance Use Disorder) Counselor in Conover, NC
• Providers in Conover, 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 Sep 11, 2025; 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.