1. Home
  2. Directory
  3. North Carolina
  4. Rougemont
  5. Counselor
  6. NPI Profile

MR. CARLSON ANDREWS THEODORE LCMHC
NPI 1699097063
Counselor - Mental Health in Rougemont, NC

Active since February 25, 2010PECOS Enrolled
96 ELDERBERRY LN, ROUGEMONT, NC 27572(919) 240-9192 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2023, Dec 7, 2021 (2 updates tracked since 2021).

About Mr. Carlson Andrews Theodore Lcmhc NPPES

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

MR. CARLSON ANDREWS THEODORE LCMHC (NPI 1699097063) is an individual mental health provider in Rougemont, North Carolina, licensed in North Carolina (7744) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Clinton.

NPPES Registry Identity

NPI1699097063
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CARLSON ANDREWS THEODORECredential: LCMHC
Location Address96 ELDERBERRY LNRougemont, NC 27572-9275
Mailing Address96 Elderberry LnRougemont, NC 27572-9275 · (919) 240-9192
Phone(919) 240-9192
Sole ProprietorYes
Enumeration DateFebruary 25, 2010
Last NPPES UpdateMay 22, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1699097063 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 · 7744
96 ELDERBERRY LN, Rougemont, NC 27572
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Loop StClinton, NC 28328-4062 · Phone (910) 596-2221 · Fax (910) 596-2229

Other Identifiers 1

Other7744NC · North Carolina Board Of Licensed Clinical Mental Health Counselors

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Carlson Andrews Theodore Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Carlson Theodore's NPI number?

The NPI number for Carlson Theodore is 1699097063. It was assigned to this individual provider in the NPPES registry on February 25, 2010.

Where is Carlson Theodore located?

Carlson Theodore practices at 96 Elderberry Ln, Rougemont, NC 27572. The listed phone number is (919) 240-9192.

What is Carlson Theodore's specialty?

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

Is Carlson Theodore enrolled in Medicare?

Yes. Carlson Theodore is registered in the Medicare PECOS enrollment system.

What insurance does Carlson Theodore accept?

Health plans from Blue Cross and Blue Shield of NC list Carlson Theodore 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 Carlson Theodore was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.