Cassandra Jo Moore, PHD, MA, LPC, LPC/S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5056 Issued in SC

Practice address

3122 Savannah Hwy
North, SC 29112-8165

Phone

(803) 604-6253

Fax

(855) 397-9171

NPI assigned

Dec 20, 2006

Last updated

Apr 9, 2021By the provider in NPPES

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

Credentials

Master of Arts, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1457415853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 SAVANNAH HWY",
            "city": "NORTH",
            "state": "SC",
            "postal_code": "291128165",
            "telephone_number": "803-604-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 SAVANNAH HWY",
            "city": "NORTH",
            "state": "SC",
            "postal_code": "291128165",
            "telephone_number": "803-604-6253",
            "fax_number": "855-397-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Palmetto Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290727872",
            "country_code": "US",
            "telephone_number": "803-996-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CASSANDRA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "PHD, MA, LPC, LPC/S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen Marcella Smith, MA, LPCA

• Professional Counselor in North, SC
• Providers in North, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.