Julie Moore, LCMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16719 Issued in NC

Practice address

1300 Baxter St Ste 420
Charlotte, NC 28204-3053

Phone

(704) 955-0342

Fax

(704) 943-0707

NPI assigned

Jul 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Achieve Balance, PLLC

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1265934731
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1861063455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BAXTER ST STE 420",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043053",
            "telephone_number": "704-955-0342",
            "fax_number": "704-943-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BAXTER ST STE 420",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043053",
            "telephone_number": "704-955-0342",
            "fax_number": "704-943-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JULIE",
        "credential": "LCMHC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS",
            "identifier": "A16719",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geaneen Moore, MA, LPC
• James Durning Moore Jr., DMD
• Jamila Gabrianna Moore, LCSWA
• Jessica Moore, LPTA
• Joshua Aaron Moore, MD
• Kamaya Moore
• Kent E. Moore, M.D., D.D.S.
• Kevin Scott Moore, PHARMD
• Kimberly Michelle Moore, MSW, LCSW
• Kristi L Moore, OT

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.