Individual provider Active NPI

Lynne A Moree, LPC

  • Professional Counselor
  • North Wilkesboro, NC
National Provider Identifier
1477522605
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2408 Issued in NC
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

Updated by the provider on Jul 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
N/AOtherNCMHNET
12566OtherNCBCBS OF NC
115710OtherNCUNITED BEHAVIORAL HEALTH
2054015OtherNCCIGNA BEHAVIORAL HEALTH
B0243OtherNCMEDCOST
N/AOtherNCCAROLINA BEHAVIORAL HEALT
6102745MedicaidNC

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

LicenseStateTypeSpecialty
2408NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.