Active NPI
Lynne A Moree, LPC
- Professional Counselor
- North Wilkesboro, NC
National Provider Identifier
1477522605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2408
- Practice address
- 204 Jefferson St
Suite 106
North Wilkesboro, NC 28659-3543 - Phone
- (336) 838-1644
- Fax
- (336) 667-7720
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2408 | NC | Primary |
Addresses
Primary practice location
204 Jefferson St
Suite 106
North Wilkesboro, NC 28659-3543
Mailing address
PO Box 1656
North Wilkesboro, NC 28659-1656
Phone (336) 838-1644
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | Other | NC | MHNET |
| 12566 | Other | NC | BCBS OF NC |
| 115710 | Other | NC | UNITED BEHAVIORAL HEALTH |
| 2054015 | Other | NC | CIGNA BEHAVIORAL HEALTH |
| B0243 | Other | NC | MEDCOST |
| N/A | Other | NC | CAROLINA BEHAVIORAL HEALT |
| 6102745 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2408 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carenet, Inc. | Past | Accepting new patients | |
| Carenet, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Elkin, NC
- NPI 1588069207
-
- Mental Health Counselor
- North Wilkesboro, NC
- NPI 1760696736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1477522605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1656",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286591656",
"telephone_number": "336-838-1644",
"fax_number": "336-667-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 JEFFERSON ST",
"address_2": "SUITE 106",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593543",
"telephone_number": "336-838-1644",
"fax_number": "336-667-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREE",
"first_name": "LYNNE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2013-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2408",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHNET",
"identifier": "N/A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "12566",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "115710",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2054015",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "B0243",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAROLINA BEHAVIORAL HEALT",
"identifier": "N/A",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102745",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.