Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Alicia Shereese Moore, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1356683148

MS. Alicia Shereese Moore, LCAS-A is a Mental Health Counselor in Fayetteville, North Carolina. Qualified in 2015, 11 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

9027 Grouse Run Ln
Fayetteville, NC 28314-6120
Phone: (910) 717-6019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence S9863 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 2745 (NC)

Record details

NPI number1356683148
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS-A
Sole proprietorYes
NPI enumeratedMarch 20, 2013
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fayetteville