MARY LISA MOORE
NPI 1386743649
Counselor - Professional in Fayetteville, NC

Active since September 22, 2006
2905 BREEZEWOOD AVE, SUITE 101, FAYETTEVILLE, NC 28303(910) 223-9927 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Lisa Moore NPPES

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

MARY LISA MOORE (NPI 1386743649) is an individual professional provider in Fayetteville, North Carolina, licensed in North Carolina (5216) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1386743649
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY LISA MOORE
Location Address2905 BREEZEWOOD AVE, SUITE 101Fayetteville, NC 28303
Mailing Address1415 West Hwy 54, Suite 101Durham, NC 27707 · (919) 402-0120
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1386743649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 5216
2905 BREEZEWOOD AVE, Fayetteville, NC 28303

Other Identifiers 1

Medicaid6103180NC

Accepted Insurance

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
2905 BREEZEWOOD AVE, SUITE 103
FAYETTEVILLE, NC 28303
Community/Behavioral Health
2905 BREEZEWOOD AVE, SUITE 104
FAYETTEVILLE, NC 28303
Counselor (Mental Health)
2905 BREEZEWOOD AVE, SUITE 104
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
2905 BREEZEWOOD AVE
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
2905 BREEZEWOOD AVE, SUITE 104
FAYETTEVILLE, NC 28303
Community/Behavioral Health
2905 BREEZEWOOD AVE, SUITE 104
FAYETTEVILLE, NC 28303
Community/Behavioral Health
2905 BREEZEWOOD AVE, SUITE 101
FAYETTEVILLE, NC 28303

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 Mary Moore's NPI number?

The NPI number for Mary Moore is 1386743649. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Mary Moore located?

Mary Moore practices at 2905 Breezewood Ave Suite 101, Fayetteville, NC 28303. The listed phone number is (910) 223-9927.

What is Mary Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Mary Moore accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Providence Health Plan and UnitedHealthcare list Mary Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.