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DAVID ANDERSON JR. LCMHC
NPI 1215627674
Counselor - Professional in Mooresville, NC

Active since May 09, 2023PECOS Enrolled
122 GATEWAY BLVD STE C, MOORESVILLE, NC 28117(704) 360-3637 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David Anderson Jr. Lcmhc NPPES

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

DAVID ANDERSON JR. LCMHC (NPI 1215627674) is an individual professional provider in Mooresville, North Carolina, licensed in North Carolina (18698) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215627674
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDAVID ANDERSON JR.Credential: LCMHC
Location Address122 GATEWAY BLVD STE CMooresville, NC 28117-5544
Mailing Address122 Gateway Blvd Ste CMooresville, NC 28117-5544 · (704) 360-3637
Phone(704) 360-3637
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 9, 2023
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1215627674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 18698
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A18698 (NC)
122 GATEWAY BLVD STE C, Mooresville, NC 28117
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Anderson Jr. Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890284533
PECOS Enrollment IDI20251031001472
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 David Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrative Wellness Solutions, PLLC
Same address
Psychologist
122 GATEWAY BLVD STE C
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 197 clinicians in this Medicare group
NPI 1447760871 (704) 360-3637

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.

ERIN HAVERKAMP
Social Worker (Clinical)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (704) 360-3637
ASHELI M THOMPSON
Counselor (Professional)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (704) 360-3637
MS. SARAH ANNE HARKINS LCSW
Social Worker (Clinical)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (704) 360-3637
HEATHER B STORCK LCSW
Social Worker (Clinical)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (980) 766-1030
ELIZABETH AFRIYIE OWUSU NP-C
Nurse Practitioner (Psychiatric/Mental Health)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (704) 360-3637
AMANY RIBERIO VILLA BRANCO
Counselor (Mental Health)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (253) 346-1377
CASSIE LEVIGNE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (704) 360-3637
MRS. LUCINDA J. HAMMOND MA, LPC
Counselor (Mental Health)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (704) 360-3637

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 David Anderson's NPI number?

The NPI number for David Anderson is 1215627674. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is David Anderson located?

David Anderson practices at 122 Gateway Blvd Ste C, Mooresville, NC 28117. The listed phone number is (704) 360-3637.

What is David Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is David Anderson enrolled in Medicare?

Yes. David Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Anderson reassigns Medicare benefits to Integrative Wellness Solutions, PLLC (Mooresville, 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 David Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Anderson accept?

Health plans from UnitedHealthcare list David Anderson 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 David Anderson was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.