Active NPI
Terin Renee Moore, LCASA
- Addiction (Substance Use Disorder) Counselor
- New Bern, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1309 Tatum Dr
New Bern, NC 28560-4314 - Phone
- (252) 672-8742
- Fax
- (252) 638-6945
- NPI assigned
- Oct 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1309 Tatum Dr
New Bern, NC 28560-4314
Mailing address
4300 Sapphire CT Ste 110
Greenville, NC 27834-9079
Phone (252) 830-7561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240119000786 | NC | Practitioner - Mental Health Counselor | 4082066691 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5171 Glenwood Ave
Suite 211
Raleigh, NC 27612-3266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Health Services | Current | Accepting new patients | |
| Port Health Services | Current | Accepting new patients | |
| Easter Seals Ucp North Carolina & Virginia, Inc. | Current | Accepting new patients | |
| Port Health Services | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Easter Seals Ucp North Carolina & Virginia, Inc. | Current | Accepting new patients | |
| Easter Seals Ucp North Carolina & Virginia, Inc. | Current | Accepting new patients | |
| Easter Seals Ucp North Carolina & Virginia, Inc. | Past | Accepting new patients |
Locations
2602 Courtier Dr
Greenville, NC 27834
Phone (252) 355-4725
4300 Sapphire Ct
Ste 110
Greenville, NC 27834
Phone (252) 830-7540
1309 Tatum Dr
New Bern, NC 28560
Phone (252) 672-2141
5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661
Organizations & group practices 7
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.
-
- Pharmacy
- New Bern, NC
- NPI 1013769629
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1306167713
-
- Case Management Agency
- Asheville, NC
- NPI 1629364591
-
- Community/Behavioral Health Agency
- Whiteville, NC
- NPI 1174005789
-
- Counselor
- New Bern, NC
- NPI 1659420487
-
- Community/Behavioral Health Agency
- Elizabeth City, NC
- NPI 1306698915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1770988552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 SAPPHIRE CT STE 110",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278349079",
"telephone_number": "252-830-7561",
"fax_number": "252-413-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 TATUM DR",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285604314",
"telephone_number": "252-672-8742",
"fax_number": "252-638-6945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "TERIN",
"middle_name": "RENEE",
"credential": "LCASA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-23",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.