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DR. CHARLENE ANNETTE MOORE-PETERSON ED.D, LPC
NPI 1730375486
Counselor - Mental Health in Columbia, SC

Active since September 17, 2007
6454 BRIDGEWOOD RD, COLUMBIA, SC 29206(803) 500-5065 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Mar 19, 2020 (2 updates tracked since 2020).

About Dr. Charlene Annette Moore-peterson Ed.d, Lpc NPPES

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

DR. CHARLENE ANNETTE MOORE-PETERSON ED.D, LPC (NPI 1730375486) is an individual mental health provider in Columbia, South Carolina, licensed in South Carolina (6666) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1730375486
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. CHARLENE ANNETTE MOORE-PETERSONCredential: ED.D, LPC
Location Address6454 BRIDGEWOOD RDColumbia, SC 29206-2126
Mailing Address6454 Bridgewood RdColumbia, SC 29206-2126 · (803) 500-5065 · Fax (803) 500-5065
Phone(803) 500-5065
Sole ProprietorNo
Enumeration DateSeptember 17, 2007
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1730375486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in SC · 6666✔ Licensed in GA · LPC011406
6454 BRIDGEWOOD RD, Columbia, SC 29206
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Other Identifiers 1

Medicaid421504SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

THE SHELTERING TREE, LLC
Counselor (Mental Health)
6454 BRIDGEWOOD RD
COLUMBIA, SC 29206
Richland County (704) 451-1433
JOHN ZACHARY GRECO LISW-CP
Counselor (Mental Health)
6454 BRIDGEWOOD RD
COLUMBIA, SC 29206
Richland County (803) 500-5065

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 Charlene Moore-peterson's NPI number?

The NPI number for Charlene Moore-peterson is 1730375486. It was assigned to this individual provider in the NPPES registry on September 17, 2007.

Where is Charlene Moore-peterson located?

Charlene Moore-peterson practices at 6454 Bridgewood Rd, Columbia, SC 29206. The listed phone number is (803) 500-5065.

What is Charlene Moore-peterson's specialty?

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

What insurance does Charlene Moore-peterson accept?

Health plans from Providence Health Plan and UnitedHealthcare list Charlene Moore-peterson 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 Charlene Moore-peterson was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.