Active NPI
Cary Craig Moorman, LPC
- Professional Counselor
- Ashburn, VA
National Provider Identifier
1780432682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003624
- Practice address
- 44081 Pipeline PLZ Ste 320
Ashburn, VA 20147-5892 - Phone
- (703) 636-2888
- NPI assigned
- May 7, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003624 | VA | Primary |
Addresses
Primary practice location
44081 Pipeline PLZ Ste 320
Ashburn, VA 20147-5892
Mailing address
44081 Pipeline PLZ Ste 320
Ashburn, VA 20147-5892
Phone (703) 636-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 6, 2024 through Jun 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003624 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1780432682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44081 PIPELINE PLZ STE 320",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475892",
"telephone_number": "703-636-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44081 PIPELINE PLZ STE 320",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475892",
"telephone_number": "703-636-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORMAN",
"first_name": "CARY",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.