ELDA-ROSA RAQUEL COULTHRUST LCMHC
NPI 1154643591
Counselor - Mental Health in Charlotte, NC

Active since February 26, 2010PECOS EnrolledAccepts Medicare Assignment
7825 BALLANTYNE COMMONS PKWY, STE 110, CHARLOTTE, NC 28277(704) 446-0391 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2026, Jul 16, 2024, Nov 14, 2023 and 1 more (4 updates tracked since 2022).

About Elda-rosa Raquel Coulthrust Lcmhc NPPES

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

ELDA-ROSA RAQUEL COULTHRUST LCMHC (NPI 1154643591) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (8640) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1154643591
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELDA-ROSA RAQUEL COULTHRUSTCredential: LCMHC
Location Address7825 BALLANTYNE COMMONS PKWY, STE 110Charlotte, NC 28277-3174
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 26, 2010
Last NPPES UpdateAugust 26, 20264 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1154643591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 8640
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 8640 (NC)
7825 BALLANTYNE COMMONS PKWY, Charlotte, NC 28277

Secondary Practice Location 1

Location 1447 Billingsley Rd, Cottage ACharlotte, NC 28211 · Phone (704) 444-2400

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

Elda-rosa Raquel Coulthrust Lcmhc 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 ID5597117465
PECOS Enrollment IDI20240116002853
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 Elda-rosa Coulthrust reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction (Substance Use Disorder)
7825 BALLANTYNE COMMONS PKWY, STE 110
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 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.

Marriage & Family Therapist
7825 BALLANTYNE COMMONS PKWY, SUITE 110
CHARLOTTE, NC 28277
Counselor (Addiction (Substance Use Disorder))
7825 BALLANTYNE COMMONS PKWY
CHARLOTTE, NC 28277
Counselor (Addiction (Substance Use Disorder))
7825 BALLANTYNE COMMONS PKWY, STE 110
CHARLOTTE, NC 28277
Counselor (Professional)
7825 BALLANTYNE COMMONS PKWY, STE 110
CHARLOTTE, NC 28277
Physical Therapist
7825 BALLANTYNE COMMONS PKWY, SUITE 210
CHARLOTTE, NC 28277
Clinic/Center (Rehabilitation, Substance Use Disorder)
7825 BALLANTYNE COMMONS PKWY, SUITE 110
CHARLOTTE, NC 28277
Social Worker
7825 BALLANTYNE COMMONS PKWY, STE 110
CHARLOTTE, NC 28277
Social Worker
7825 BALLANTYNE COMMONS PKWY, SUITE 110
CHARLOTTE, NC 28277

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 Elda-rosa Coulthrust's NPI number?

The NPI number for Elda-rosa Coulthrust is 1154643591. It was assigned to this individual provider in the NPPES registry on February 26, 2010.

Where is Elda-rosa Coulthrust located?

Elda-rosa Coulthrust practices at 7825 Ballantyne Commons Pkwy Ste 110, Charlotte, NC 28277. The listed phone number is (704) 446-0391.

What is Elda-rosa Coulthrust's specialty?

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

Is Elda-rosa Coulthrust enrolled in Medicare?

Yes. Elda-rosa Coulthrust 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 Elda-rosa Coulthrust's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elda-rosa Coulthrust reassigns Medicare benefits to The Charlotte-Mecklenburg Hospital Authority (Charlotte, 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 Elda-rosa Coulthrust's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elda-rosa Coulthrust accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 5 other insurers list Elda-rosa Coulthrust 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 Elda-rosa Coulthrust was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.