Active NPI
Ashley Elizabeth Moore, LPC
- Professional Counselor
- Charleston, SC
National Provider Identifier
1780359778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8437
- Practice address
- 125 Wappoo Creek Dr Ste D4
Charleston, SC 29412-2156 - Phone
- (864) 934-9764
- NPI assigned
- Aug 11, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8437 | SC | Primary |
| Professional Counselor | 101YP2500X | 0701010677 | VA |
Addresses
Primary practice location
125 Wappoo Creek Dr Ste D4
Charleston, SC 29412-2156
Mailing address
493 Woodland Shores Rd
Charleston, SC 29412-2426
Phone (864) 934-9764
Other practice location 1
2312 Mount Vernon Ave Ste 206
Alexandria, VA 22301-1375
Phone (864) 934-9764
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 |
|---|---|---|---|
| 8437 | SC | MD | Professional Counselor |
| 0701010677 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aem Wellness LLC | Current | Accepting new patients | |
| Wonderologie LLC | Current | Accepting new patients |
Locations
125 Wappoo Creek Dr
Ste D4
Charleston, SC 29412
Phone (864) 934-9764
2312 Mount Vernon Ave
Ste 206
Alexandria, VA 22301
Phone (703) 662-1591
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.
-
- Mental Health Counselor
- Charleston, SC
- NPI 1407676216
-
- Adolescent and Children Mental Health Clinic/Center
- Alexandria, VA
- NPI 1235705468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1780359778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "493 WOODLAND SHORES RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122426",
"telephone_number": "864-934-9764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 WAPPOO CREEK DR STE D4",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122156",
"telephone_number": "864-934-9764"
}
],
"practiceLocations": [
{
"address_1": "2312 Mount Vernon Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223011375",
"country_code": "US",
"telephone_number": "864-934-9764",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "ASHLEY",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-11",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "8437",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701010677",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.