LILY ANGELIKI MUDRY LCMHCS, LCAS, CCS
NPI 1366755282
Counselor - Mental Health in Charlotte, NC

Active since July 20, 2010PECOS EnrolledAccepts Medicare Assignment
1942 E SEVENTH ST STE 220, CHARLOTTE, NC 28204(704) 227-0610(704) 227-0690 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lily Angeliki Mudry Lcmhcs, Lcas, Ccs NPPES

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

LILY ANGELIKI MUDRY LCMHCS, LCAS, CCS (NPI 1366755282) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (S7638) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1366755282
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLILY ANGELIKI MUDRYCredential: LCMHCS, LCAS, CCS
Location Address1942 E SEVENTH ST STE 220Charlotte, NC 28204-2418
Mailing Address5800 Executive Center Dr. 101Charlotte, NC 28212-8859 · (704) 227-0605 · Fax (704) 227-0690
Fax(704) 227-0690
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 20, 2010
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
NPI 1366755282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in NC · S7638 Licensed in FL · MH8494
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 2923 (FL), LCAS-1717 (NC)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CCS-564 (NC)
1942 E SEVENTH ST STE 220, Charlotte, NC 28204

Other Identifiers 1

Medicaid6104577NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lily Angeliki Mudry Lcmhcs, Lcas, Ccs 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 ID6709238983
PECOS Enrollment IDI20250429002568
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.

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 Lily Mudry's NPI number?

The NPI number for Lily Mudry is 1366755282. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Where is Lily Mudry located?

Lily Mudry practices at 1942 E Seventh St Ste 220, Charlotte, NC 28204. The listed phone number is (704) 227-0610.

What is Lily Mudry's specialty?

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

Is Lily Mudry enrolled in Medicare?

Yes. Lily Mudry 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.

What insurance does Lily Mudry accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Lily Mudry 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 Lily Mudry was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.