SONYA GLYN MOORE M.S. , LADAC II
NPI 1255736153
Psychologist - Addiction (Substance Use Disorder) in Morristown, TN

Q: What is Sonya Moore's NPI number?

The NPI number for Sonya Moore is 1255736153. It was assigned to this individual provider in the NPPES registry on November 4, 2014.

Q: What is Sonya Moore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Q: When was this NPI record last updated?

The NPPES record for Sonya Moore was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 04, 2014PECOS EnrolledAccepts Medicare Assignment

400 W 1ST NORTH ST STE D, MORRISTOWN, TN 37814(828) 335-2310(423) 266-5101 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2025, Jul 21, 2022, Jun 11, 2019 and 3 more (6 updates tracked since 2017).

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About Sonya Glyn Moore M.s. , Ladac Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SONYA GLYN MOORE M.S. , LADAC II (NPI 1255736153) is an individual addiction (substance use disorder) provider in Morristown, Tennessee, licensed in Tennessee (LDC0000001260) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greeneville, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255736153

Entity TypeIndividualFemale

Primary Taxonomy103TA0400X

Provider Legal NameSONYA GLYN MOORECredential: M.S. , LADAC II

Location Address400 W 1ST NORTH ST STE DMorristown, TN 37814-4617

Mailing Address4845 W Andrew Johnson HwyMorristown, TN 37814-1023 · (828) 335-2310 · Fax (423) 266-5101

Phone(828) 335-2310

Fax(423) 266-5101

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 4, 2014

Last NPPES UpdateApril 1, 20256 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1255736153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

License✔ Licensed in TN · LDC0000001260

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

400 W 1ST NORTH ST STE D, Morristown, TN 37814

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Secondary Practice Location 1

Location 1404 Holston DrGreeneville, TN 37743-3126 · Phone (423) 638-4171 · Fax (423) 638-7171

Other Identifiers 1

MedicaidQ028453TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sonya Glyn Moore M.s. , Ladac Ii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446388748

PECOS Enrollment IDI20250318003391

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sonya Moore's NPI number?

The NPI number for Sonya Moore is 1255736153. It was assigned to this individual provider in the NPPES registry on November 4, 2014.

Where is Sonya Moore located?

Sonya Moore practices at 400 W 1st North St Ste D, Morristown, TN 37814. The listed phone number is (828) 335-2310.

What is Sonya Moore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Is Sonya Moore enrolled in Medicare?

Yes. Sonya Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sonya Moore was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.