ANNA GRACE TAGARAM LCMHC
NPI 1790455111
Counselor - Mental Health in Denver, NC

Q: What is Anna Grace Tagaram's NPI number?

The NPI number for Anna Grace Tagaram is 1790455111. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Q: What is Anna Grace Tagaram's specialty?

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

Active since September 16, 2021PECOS EnrolledAccepts Medicare Assignment

7490 WATERSIDE CROSSING BLVD STE 2A, DENVER, NC 28037(704) 360-3637 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2024, Nov 15, 2021, Sep 17, 2021 (3 updates tracked since 2021).

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About Anna Grace Tagaram Lcmhc NPPES

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

ANNA GRACE TAGARAM LCMHC (NPI 1790455111) is an individual mental health provider in Denver, North Carolina, licensed in North Carolina (16970) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790455111

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameANNA GRACE TAGARAMCredential: LCMHC

Location Address7490 WATERSIDE CROSSING BLVD STE 2ADenver, NC 28037-3004

Mailing Address7490 Waterside Crossing Blvd Ste 2aDenver, NC 28037-3004

Phone(704) 360-3637

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 16, 2021

Last NPPES UpdateFebruary 11, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2026

✔ NPI 1790455111 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 · 16970

7490 WATERSIDE CROSSING BLVD STE 2A, Denver, NC 28037

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anna Grace Tagaram Lcmhc 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 ID7214469048

PECOS Enrollment IDI20241017000904

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 Anna Grace Tagaram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrative Wellness Solutions, PLLC

11 mi

Psychologist

122 GATEWAY BLVD STE C
Mooresville, NC 28117

Reassigned Medicare billing, North Carolina enrollment
197 clinicians in this Medicare group

NPI 1447760871 (704) 360-3637

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 14

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

ROBERT BRUCE RISAVI LCSW

Social Worker (Clinical)