TRACY J MOORE LCAS-A
NPI 1558614677
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Active since October 26, 2012
5500 EXECUTIVE CENTER DR, CHARLOTTE, NC 28212(704) 537-5760 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy J Moore Lcas-a NPPES

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

TRACY J MOORE LCAS-A (NPI 1558614677) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (LCAS-15519) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1558614677
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTRACY J MOORECredential: LCAS-A
Location Address5500 EXECUTIVE CENTER DRCharlotte, NC 28212-8856
Mailing Address5500 Executive Center DrCharlotte, NC 28212-8856 · (704) 537-5760
Sole ProprietorYes
Enumeration DateOctober 26, 2012
Last NPPES UpdateSeptember 28, 2016
NPI 1558614677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NC · LCAS-15519
Also ListedCounselorTaxonomy 101Y00000X · License LCAS-15519 (NC)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LCAS-15519 (NC)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License P007403 (NC)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License LCAS-15519 (NC)
Also ListedCommunity Health WorkerTaxonomy 172V00000X · License LCAS-15519 (NC)
5500 EXECUTIVE CENTER DR, Charlotte, NC 28212

Accepted Insurance

Other Providers at the Same Location NPPES 15

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

Community/Behavioral Health
5500 EXECUTIVE CENTER DR, SUITE 103
CHARLOTTE, NC 28212
Social Worker (Clinical)
5500 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212
Community Health Worker
5500 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212
Case Management
5500 EXECUTIVE CENTER DR, STE 204
CHARLOTTE, NC 28212
Case Management
5500 EXECUTIVE CENTER DR, SUITE 204
CHARLOTTE, NC 28212
Counselor (Professional)
5500 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212
Community/Behavioral Health
5500 EXECUTIVE CENTER DR, SUITE 202
CHARLOTTE, NC 28212
Community/Behavioral Health
5500 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212

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 Tracy Moore's NPI number?

The NPI number for Tracy Moore is 1558614677. It was assigned to this individual provider in the NPPES registry on October 26, 2012.

Where is Tracy Moore located?

Tracy Moore practices at 5500 Executive Center Dr, Charlotte, NC 28212. The listed phone number is (704) 537-5760.

What is Tracy Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Tracy Moore accept?

Health plans from Blue Cross and Blue Shield of NC list Tracy 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 Tracy Moore was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.