CHILD & FAMILY THERAPY CENTER, PC
NPI 1275788119
Counselor - Professional in Mooresville, NC

Active since November 19, 2008
363 WILLIAMSON RD, SUITE 102, MOORESVILLE, NC 28117(704) 664-7148(704) 664-3086 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Child & Family Therapy Center, Pc NPPES

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

CHILD & FAMILY THERAPY CENTER, PC (NPI 1275788119) is a healthcare organization registered as a professional in Mooresville, North Carolina and active in the NPI registry since November 2008. The organization lists Betty Wright Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1275788119
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCHILD & FAMILY THERAPY CENTER, PC
Location Address363 WILLIAMSON RD, SUITE 102Mooresville, NC 28117-5973
Mailing Address363 Williamson Rd, Suite 102Mooresville, NC 28117-5973 · (704) 664-7148 · Fax (704) 664-3086
Fax(704) 664-3086
Organization SubpartNo
Authorized OfficialBetty Wright RussellOwner · (704) 664-7148
Enumeration DateNovember 19, 2008
Last NPPES UpdateMarch 3, 2015
✔ NPI 1275788119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · C000914
363 WILLIAMSON RD, Mooresville, NC 28117

Other Identifiers 1

Medicare UPIN2862897ANC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Child & Family Therapy Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Child & Family Therapy Center, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Marriage and Family Therapist
NPI 1164550521
363 WILLIAMSON RD SUITE 102
Mooresville, NC 28117
(704) 664-7148
✔ PECOSSame address
Clinical Social Worker
NPI 1215206214
919 N MAIN ST
Mooresville, NC 28115
(704) 591-4003
✔ PECOS4.3 mi
Clinical Psychologist
NPI 1043273410
1601 BRENNER AVE
Salisbury, NC 28144
(704) 638-9000
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Child & Family Therapy Center, PC's NPI number?

The NPI number for Child & Family Therapy Center, PC is 1275788119. It was assigned to this organization in the NPPES registry on November 19, 2008.

Where is Child & Family Therapy Center, PC located?

Child & Family Therapy Center, PC is located at 363 Williamson Rd Suite 102, Mooresville, NC 28117. The listed phone number is (704) 664-7148.

What is Child & Family Therapy Center, PC's specialty?

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

Is Child & Family Therapy Center, PC enrolled in Medicare?

Yes. Child & Family Therapy Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Child & Family Therapy Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Child & Family Therapy Center, PC, in Clinical Psychologist, Clinical Social Worker and Marriage and Family Therapist. 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Child & Family Therapy Center, PC accept?

Health plans from Blue Cross and Blue Shield of NC list Child & Family Therapy Center, PC 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 Child & Family Therapy Center, PC was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.