Individual provider Active NPI

Gregory John Moore, LCMHC, LCAS

  • Professional Counselor
  • Mebane, NC
National Provider Identifier
1982032264
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8103 Issued in NC
Practice address
301 N 2ND Street
Mebane, NC 27302
Phone
(919) 433-7115
NPI assigned
Oct 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2547 NC
Professional Counselor 101YP2500X 8103 NC Primary

Addresses

Primary practice location

301 N 2ND Street
Mebane, NC 27302

Mailing address

301 N 2ND Street
Mebane, NC 27302
Phone (919) 433-7115

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207002724 NC Practitioner - Mental Health Counselor 3072956945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

301 N 2ND St
Mebane, NC 27302-2401
Phone (919) 230-4348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2547NCMDOptometrist
8103NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Moore Counseling PLLC CurrentSince May 4, 2025 Accepting new patients
New Leaf Behavioral Health Past Accepting new patients
New Leaf Behavioral Health Professional Past Accepting new patients
Wellmood PLLC PastSince Jan 1, 2024 Accepting new patients

Locations

301 N Second St
Mebane, NC 27302
Phone (919) 636-2679

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1982032264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 2ND STREET",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "27302",
            "telephone_number": "919-433-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 2ND STREET",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "27302",
            "telephone_number": "919-433-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LCMHC, LCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2547",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

Verify at the official NPI Registry.