ANGELA DENISE WILBURN LCMHC NCC
NPI 1619326436
Counselor - Professional in Charlotte, NC
About Angela Denise Wilburn Lcmhc Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA DENISE WILBURN LCMHC NCC (NPI 1619326436) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (A12117) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angela Denise Wilburn Lcmhc Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Angela Wilburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 241 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, North Carolina enrollment
- 712 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.
CHARLOTTE, NC 28217
CHARLOTTE, NC 28217
CHARLOTTE, NC 28217
CHARLOTTE, NC 28217
CHARLOTTE, NC 28217
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 Wilburn's NPI number?
The NPI number for Angela Wilburn is 1619326436. It was assigned to this individual provider in the NPPES registry on June 13, 2016.
Where is Angela Wilburn located?
Angela Wilburn practices at 515 Clanton Rd, Charlotte, NC 28217. The listed phone number is (704) 332-9001.
What is Angela Wilburn's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Angela Wilburn enrolled in Medicare?
Yes. Angela Wilburn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Angela Wilburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Wilburn reassigns Medicare benefits to 2 organizations: Daymark Recovery Services, Inc. (Concord, NC) and Grow Healthcare Group PA (Miami, FL). Each 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 Angela Wilburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Angela Wilburn accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Angela Wilburn 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 Wilburn was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Angela Denise Wilburn, LCMHC NCC · NPI 1619326436
Professional provider in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since June 13, 2016.
## Identity
- **NPI:** 1619326436 (Entity type: Individual)
- **Enumerated:** June 13, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** A12117 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 515 CLANTON RD, Charlotte, NC 28217-1309
- **Phone:** (704) 332-9001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Daymark Recovery Services, Inc. (NPI 1558329243, Concord, NC); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619326436) · Data from the CMS NPPES public registry.