Individual provider Active NPI

Megan Byerly

  • Professional Counselor
  • Mooresville, NC
National Provider Identifier
1104302223
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12541 Issued in NC
Practice address
125 Overhill Dr Ste 105
Mooresville, NC 28117-8232
Phone
(704) 651-5124
NPI assigned
Jul 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12541 NC Primary
Mental Health Counselor 101YM0800X 12541 NC

Addresses

Primary practice location

125 Overhill Dr Ste 105
Mooresville, NC 28117-8232

Mailing address

125 Overhill Dr Ste 105
Mooresville, NC 28117-8232
Phone (704) 651-5124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107002088 NC Practitioner - Mental Health Counselor 6608304480 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12541NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Piedmont Counseling PLLC Mental Health CurrentSince Sep 9, 2024 Accepting new patients

Locations

125 Overhill Dr
Ste 105
Mooresville, NC 28117
Phone (704) 651-5124

242 E Broad St
Statesville, NC 28677
Phone (704) 651-5124

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1104302223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OVERHILL DR STE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178232",
            "telephone_number": "704-651-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OVERHILL DR STE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178232",
            "telephone_number": "704-651-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERLY",
        "first_name": "MEGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12541",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.