MCIVERS ADULT & YOUTH SERVICES LLC
NPI 1033707864
Counselor - Mental Health in Charlotte, NC
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
Specialties & Licenses 8
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mcivers Adult & Youth Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mcivers Adult & Youth Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCFrequently 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.
Is Mcivers Adult & Youth Services LLC enrolled in Medicare?
Yes. Mcivers Adult & Youth Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mcivers Adult & Youth Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mcivers Adult & Youth Services LLC, in Clinical Social Worker and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
What insurance does Mcivers Adult & Youth Services LLC accept?
Health plans from Cigna Healthcare list Mcivers Adult & Youth Services LLC 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 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.
# Mcivers Adult & Youth Services Llc · NPI 1033707864
Mental Health organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since January 7, 2021.
## Identity
- **NPI:** 1033707864 (Entity type: Organization)
- **Enumerated:** January 7, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Raymond Mciver, CEO
## Practice location
- **Address:** 4822 ALBEMARLE RD STE 103B, Charlotte, NC 28205-6668
- **Phone:** (980) 207-0072
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033707864) · Data from the CMS NPPES public registry.