Alicia Shereese Moore, LCAS-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S9863 Issued in NC

Practice address

9027 Grouse Run LN
Fayetteville, NC 28314-6120

Phone

(910) 717-6019

NPI assigned

Mar 20, 2013

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

Other names 1

• Ms. Alicia Shereese Moore Professional name

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Stephens Outreach Center, Inc

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1407977390
  Medicare reassignment NPD
• Stephens Outreach Center, Inc

  • Addiction Medicine (Family Medicine) Physician
  • Lumberton, NC
  • NPI 1952554388
  NPD Authorized official

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1356683148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9027 GROUSE RUN LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9027 GROUSE RUN LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146120",
            "telephone_number": "910-717-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALICIA",
        "middle_name": "SHEREESE",
        "name_prefix": "Ms.",
        "credential": "LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2745",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S9863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "MOORE",
            "middle_name": "SHEREESE",
            "prefix": "MS.",
            "credential": "LPC-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brody Daniel Montoya, DO
• Megan Nikole Mooney
• Michele A. Mooney, BCBA
• Moore Street Pulmonary Clinic, PLLC
• Doris Ann Moore-Russell, LCSW
• Angela Ellen Moore, LCMHCS
• Angelica Dena Moore
• Ashli Moore
• Ashona Moore
• Brandon Moore

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.