Active NPI
Preston Glover Moten
- Addiction (Substance Use Disorder) Counselor
- Joint Base Charleston, SC
National Provider Identifier
1508716259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2761
- Practice address
- 204 W Hill Blvd
Joint Base Charleston, SC 29404-4704 - Phone
- (843) 963-6852
- NPI assigned
- Feb 2, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2761 | SC | Primary |
Addresses
Primary practice location
204 W Hill Blvd
Joint Base Charleston, SC 29404-4704
Mailing address
204 W Hill Blvd
Joint Base Charleston, SC 29404-4704
Phone (843) 963-6852
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 |
|---|---|---|---|
| 2761 | SC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1508716259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 W HILL BLVD",
"city": "JOINT BASE CHARLESTON",
"state": "SC",
"postal_code": "294044704",
"telephone_number": "843-963-6852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W HILL BLVD",
"city": "JOINT BASE CHARLESTON",
"state": "SC",
"postal_code": "294044704",
"telephone_number": "843-963-6852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTEN",
"first_name": "PRESTON",
"middle_name": "GLOVER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-02",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "2761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joint Base Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.