Individual provider Active NPI

Lolita E. Smith Moore, NCC, LCMHCA

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1699650457
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A21808 Issued in NC
Practice address
8307 Six Forks Rd Ste 201
Raleigh, NC 27615-3768
Phone
(919) 605-0943
NPI assigned
Aug 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A21808 NC Primary

Addresses

Primary practice location

8307 Six Forks Rd Ste 201
Raleigh, NC 27615-3768

Mailing address

8307 Six Forks Rd Ste 201
Raleigh, NC 27615-3768
Phone (919) 605-0943

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
A21808NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Faith, Prosperity, & Change PLLC PastSince Aug 10, 2025 Accepting new patients

Organizations & group practices 1

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": "1754697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1699650457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 SIX FORKS RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153768",
            "telephone_number": "919-605-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 SIX FORKS RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153768",
            "telephone_number": "919-605-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH MOORE",
        "first_name": "LOLITA",
        "middle_name": "E.",
        "credential": "NCC, LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-09",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; 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.