LAURYN NICOLE MOFFA MS, NCC, LCMHCA
NPI 1720740442
Counselor - Mental Health in Wilmington, NC

Active since October 11, 2021PECOS EnrolledAccepts Medicare Assignment
615 SHIPYARD BLVD, WILMINGTON, NC 28412(910) 343-0145(910) 341-5779 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lauryn Nicole Moffa Ms, Ncc, Lcmhca NPPES

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

LAURYN NICOLE MOFFA MS, NCC, LCMHCA (NPI 1720740442) is an individual mental health provider in Wilmington, North Carolina, licensed in North Carolina (A17062) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720740442
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAURYN NICOLE MOFFACredential: MS, NCC, LCMHCA
Location Address615 SHIPYARD BLVDWilmington, NC 28412-6431
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145
Fax(910) 341-5779
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 11, 2021
NPPES CertifiedOctober 11, 2021
✔ NPI 1720740442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A17062
615 SHIPYARD BLVD, Wilmington, NC 28412

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauryn Nicole Moffa Ms, Ncc, Lcmhca 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 ID9537681812
PECOS Enrollment IDI20250315000060
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.

Medicare Billing Reassignment

Medicare enrollment records show Lauryn Moffa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
615 SHIPYARD BLVD
Wilmington, NC 28412
  • Reassigned Medicare billing, North Carolina enrollment
  • 70 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Psychologist (Prescribing (Medical))
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412

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 Lauryn Moffa's NPI number?

The NPI number for Lauryn Moffa is 1720740442. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Where is Lauryn Moffa located?

Lauryn Moffa practices at 615 Shipyard Blvd, Wilmington, NC 28412. The listed phone number is (910) 343-0145.

What is Lauryn Moffa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lauryn Moffa enrolled in Medicare?

Yes. Lauryn Moffa 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.

Which organization bills Medicare for Lauryn Moffa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauryn Moffa reassigns Medicare benefits to Coastal Horizons Center, Inc. (Wilmington, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauryn Moffa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauryn Moffa accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Oscar Health Plan of North Carolina, Inc list Lauryn Moffa 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 Lauryn Moffa was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.