SOULSTICE COUNSELING & WELLNESS, PLLC
NPI 1790372464
Social Worker - Clinical in Charlotte, NC

Active since December 28, 2020
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262(980) 272-0352(980) 206-0187 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2021, Mar 3, 2021, Dec 28, 2020 (3 updates tracked since 2020).

About Soulstice Counseling & Wellness, Pllc NPPES

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

SOULSTICE COUNSELING & WELLNESS, PLLC (NPI 1790372464) is a healthcare organization registered as a clinical in Charlotte, North Carolina and active in the NPI registry since December 2020. The organization lists Michele Adriane Lewis, Owner, as its authorized official.

NPPES Registry Identity

NPI1790372464
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOULSTICE COUNSELING & WELLNESS, PLLC
Location Address10130 MALLARD CREEK RD STE 300Charlotte, NC 28262-6001
Mailing Address10130 Mallard Creek RdCharlotte, NC 28262-6000 · (980) 272-0352
Fax(980) 206-0187
Organization SubpartNo
Authorized OfficialMichele Adriane LewisOwner · (704) 737-5878
Enumeration DateDecember 28, 2020
Last NPPES UpdateMarch 18, 20213 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1790372464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10130 MALLARD CREEK RD STE 300, Charlotte, NC 28262

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soulstice Counseling & Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Soulstice Counseling & Wellness, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1700280567
1603 WILBURN PARK LN NW
Charlotte, NC 28269
(704) 766-2681
✔ PECOS✔ Accepts Medicare4.0 mi

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

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 Soulstice Counseling & Wellness, PLLC's NPI number?

The NPI number for Soulstice Counseling & Wellness, PLLC is 1790372464. It was assigned to this organization in the NPPES registry on December 28, 2020.

Where is Soulstice Counseling & Wellness, PLLC located?

Soulstice Counseling & Wellness, PLLC is located at 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262. The listed phone number is (980) 272-0352.

What is Soulstice Counseling & Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Soulstice Counseling & Wellness, PLLC enrolled in Medicare?

Yes. Soulstice Counseling & Wellness, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soulstice Counseling & Wellness, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Soulstice Counseling & Wellness, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Soulstice Counseling & Wellness, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Soulstice Counseling & Wellness, PLLC 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 Soulstice Counseling & Wellness, PLLC was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.