MCIVERS ADULT & YOUTH SERVICES LLC
NPI 1033707864
Counselor - Mental Health in Charlotte, NC

Active since January 07, 2021CLIA 34D2212339 · Waiver
4822 ALBEMARLE RD STE 103B, CHARLOTTE, NC 28205(980) 207-0072 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2021, Jan 16, 2021, Jan 7, 2021 (3 updates tracked since 2021).

About Mcivers Adult & Youth Services Llc NPPES

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

MCIVERS ADULT & YOUTH SERVICES LLC (NPI 1033707864) is a healthcare organization registered as a mental health in Charlotte, North Carolina and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through February 3, 2027, maintains a secondary practice location in Charlotte, and lists Raymond Maurice Mciver, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033707864
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMCIVERS ADULT & YOUTH SERVICES LLC
Location Address4822 ALBEMARLE RD STE 103BCharlotte, NC 28205-6668
Mailing Address4822 Albemarle Rd Ste 103bCharlotte, NC 28205-6668 · (980) 207-0072
Organization SubpartNo
Authorized OfficialRaymond Maurice MciverCeo · (704) 967-9826
Enumeration DateJanuary 7, 2021
Last NPPES UpdateMarch 25, 20223 updates tracked since enumeration
NPPES CertifiedMarch 25, 2022
NPI 1033707864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedFoster Care AgencyTaxonomy 253J00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
4822 ALBEMARLE RD STE 103B, Charlotte, NC 28205

Secondary Practice Location 1

Location 14636 Meadowfield Rd Ste 103Charlotte, NC 28215-7809 · Phone (980) 207-0072 · Fax (980) 207-0072

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2212339

Mcivers Adult& Youth Sercives LLC · Charlotte, NC
Active · expires Feb 3, 2027
CLIA Number34D2212339
Laboratory TypePublic Health Laboratories
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorKrystle L. Mcgee
Laboratory Phone(704) 967-9826
Laboratory LocationMcivers Adult& Youth Sercives LLC5624 Executive Center Dr, Suite 105, Charlotte, NC 28212
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mcivers Adult & Youth Services LLC's NPI number?

The NPI number for Mcivers Adult & Youth Services LLC is 1033707864. It was assigned to this organization in the NPPES registry on January 7, 2021.

Where is Mcivers Adult & Youth Services LLC located?

Mcivers Adult & Youth Services LLC is located at 4822 Albemarle Rd Ste 103B, Charlotte, NC 28205. The listed phone number is (980) 207-0072.

What is Mcivers Adult & Youth Services LLC's specialty?

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

Does Mcivers Adult & Youth Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2212339) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mcivers Adult & Youth Services LLC was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.