Active NPI
Richard Moore, LCAS-A, LPCA
- Professional Counselor
- Concord, NC
National Provider Identifier
1760929798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A12859
- Practice address
- 284 Executive Park Dr
Suite100
Concord, NC 28025-1894 - Phone
- (704) 939-1100
- Fax
- (704) 939-1173
- NPI assigned
- Jan 29, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-23382 | NC | |
| Professional Counselor | 101YP2500X | A12859 | NC | Primary |
Addresses
Primary practice location
284 Executive Park Dr
Suite100
Concord, NC 28025-1894
Mailing address
284 Executive Park Dr
Suite100
Concord, NC 28025-1894
Phone (704) 939-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 22, 2026 through May 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-23382 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A12859 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Herd LLC | Addiction (Substance Use Disorder) | Past | 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": "1485648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495152000000",
"number": "1760929798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR",
"address_2": "SUITE100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251894",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR",
"address_2": "SUITE100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251894",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "LCAS-A, LPCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-29",
"last_updated": "2017-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-23382",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A12859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.