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MRS. ANGELA JARVIS MICOLUCCI LCMHCS
NPI 1740434315
Counselor - Professional in Mooresville, NC

Active since November 10, 2008PECOS Enrolled
400 E STATESVILLE AVE STE 200, MOORESVILLE, NC 28115(704) 360-8486(704) 230-4674 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 16, 2023, Mar 14, 2019 (2 updates tracked since 2019).

About Mrs. Angela Jarvis Micolucci Lcmhcs NPPES

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

MRS. ANGELA JARVIS MICOLUCCI LCMHCS (NPI 1740434315) is an individual professional provider in Mooresville, North Carolina, licensed in North Carolina (7147S) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1740434315
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ANGELA JARVIS MICOLUCCICredential: LCMHCS
Location Address400 E STATESVILLE AVE STE 200Mooresville, NC 28115-2588
Mailing Address400 E Statesville AveMooresville, NC 28115-2581 · (704) 953-4890
Phone(704) 360-8486
Fax(704) 230-4674
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 10, 2008
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1740434315 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 · 7147S
400 E STATESVILLE AVE STE 200, Mooresville, NC 28115
Open in Google Maps ↗

Secondary Practice Location 1

Location 13593 Denver Dr Unit 1431Denver, NC 28037-7283 · Phone (704) 953-4890

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Angela Jarvis Micolucci Lcmhcs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941349914
PECOS Enrollment IDI20240307000915
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.

Medicare Billing Reassignment

Medicare enrollment records show Angela Micolucci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Family Medicine, Inc.
Same address
Community/Behavioral Health
400 E STATESVILLE AVE STE 200
Mooresville, NC 28115
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1881144590 (704) 360-8486

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
91 services15 patients

Other Providers at the Same Location NPPES 5

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

INDIA MUNOZ LCMHCA
Counselor (Mental Health)
400 E STATESVILLE AVE STE 200
MOORESVILLE, NC 28115
Iredell County (704) 360-8486
BETHANY RACHEL BASNETT NP
Nurse Practitioner (Primary Care)
400 E STATESVILLE AVE STE 200
MOORESVILLE, NC 28115
Iredell County (704) 360-8486
MRS. JACQUELYN DWELLE MCGINNIS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
400 E STATESVILLE AVE STE 200
MOORESVILLE, NC 28115
Iredell County (704) 360-8486
KIMBERLY FALON BARNEY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
400 E STATESVILLE AVE STE 200
MOORESVILLE, NC 28115
Iredell County (704) 360-8486
SOUTHERN FAMILY MEDICINE, INC.
Community/Behavioral Health
400 E STATESVILLE AVE STE 200
MOORESVILLE, NC 28115
Iredell County (704) 360-8486

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 Micolucci's NPI number?

The NPI number for Angela Micolucci is 1740434315. It was assigned to this individual provider in the NPPES registry on November 10, 2008.

Where is Angela Micolucci located?

Angela Micolucci practices at 400 E Statesville Ave Ste 200, Mooresville, NC 28115. The listed phone number is (704) 360-8486.

What is Angela Micolucci's specialty?

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

Is Angela Micolucci enrolled in Medicare?

Yes. Angela Micolucci is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Micolucci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Micolucci reassigns Medicare benefits to Southern Family Medicine, Inc. (Mooresville, NC). The 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 Micolucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Micolucci accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 4 other insurers list Angela Micolucci 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 Micolucci was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.