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MRS. ANGELA ROBIN WYATT WOOTEN LCMHC, NCC
NPI 1386039428
Counselor - Mental Health in Statesville, NC

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
276 OLD MOCKSVILLE RD STE 100, STATESVILLE, NC 28625(704) 360-3637(704) 200-9829 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2024, Nov 21, 2017 (2 updates tracked since 2017).

About Mrs. Angela Robin Wyatt Wooten Lcmhc, Ncc NPPES

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

MRS. ANGELA ROBIN WYATT WOOTEN LCMHC, NCC (NPI 1386039428) is an individual mental health provider in Statesville, North Carolina, licensed in North Carolina (11555) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mooresville, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1386039428
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ANGELA ROBIN WYATT WOOTENCredential: LCMHC, NCC
Location Address276 OLD MOCKSVILLE RD STE 100Statesville, NC 28625-1951
Mailing Address276 Old Mocksville Rd Ste 100Statesville, NC 28625-1951 · (704) 360-3637 · Fax (704) 200-9829
Phone(704) 360-3637
Fax(704) 200-9829
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 6, 2015
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1386039428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 11555
276 OLD MOCKSVILLE RD STE 100, Statesville, NC 28625
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Secondary Practice Location 1

Location 1122 Gateway Blvd Ste CMooresville, NC 28117-5544 · Phone (704) 360-3637 · Fax (704) 200-9829

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Mrs. Angela Robin Wyatt Wooten Lcmhc, Ncc 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 ID3072966878
PECOS Enrollment IDI20240129001681
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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUE ANN BINGHAM BROWN MSW, LCSW, PIP
Social Worker (Clinical)
276 OLD MOCKSVILLE RD STE 100
STATESVILLE, NC 28625
Iredell County (704) 317-2931
CHRISTIAN MARSHALL DAVIDSON LCMHC, LCAS
Counselor (Mental Health)
276 OLD MOCKSVILLE RD STE 100
STATESVILLE, NC 28625
Iredell County (704) 360-3637
HEATHER LEE HERRIG LCMHCS, LCAS
Counselor (Mental Health)
276 OLD MOCKSVILLE RD STE 100
STATESVILLE, NC 28625
Iredell County (704) 360-3637
HELEN LYNN DULA LCMHC
Counselor (Mental Health)
276 OLD MOCKSVILLE RD STE 100
STATESVILLE, NC 28625
Iredell County (704) 360-3637
ANNA SANCHEZ MSW, LCSWA
Social Worker (Clinical)
276 OLD MOCKSVILLE RD STE 100
STATESVILLE, NC 28625
Iredell County (704) 317-2931
JERRY DENNIS MYERS LPC, LPCMH
Counselor (Mental Health)
276 OLD MOCKSVILLE RD STE 100
STATESVILLE, NC 28625
Iredell County (704) 360-3637
MS. AVEY INEZ GIBBS MSW, LCSW-A
Social Worker (Clinical)
276 OLD MOCKSVILLE RD STE 100
STATESVILLE, NC 28625
Iredell County (704) 317-2931
MR. MICHAEL ANTOINE BOULWARE LCSW
Social Worker (Clinical)
276 OLD MOCKSVILLE RD STE 100
STATESVILLE, NC 28625
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 Angela Wooten's NPI number?

The NPI number for Angela Wooten is 1386039428. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Angela Wooten located?

Angela Wooten practices at 276 Old Mocksville Rd Ste 100, Statesville, NC 28625. The listed phone number is (704) 360-3637.

What is Angela Wooten's specialty?

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

Is Angela Wooten enrolled in Medicare?

Yes. Angela Wooten 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 Angela Wooten accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Angela Wooten 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 Angela Wooten was last updated on January 16, 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.