Individual provider Active NPI

Christian Noel Davidson, LCMHC, LCAS

  • Mental Health Counselor
  • Statesville, NC
National Provider Identifier
1164840450
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10823 Issued in NC
Practice address
633 Brookdale Dr Ste 200
Statesville, NC 28677-3471
Phone
(704) 360-3637
NPI assigned
Apr 3, 2014
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-20004 NC
Mental Health Counselor 101YM0800X 10823 NC Primary

Addresses

Primary practice location

633 Brookdale Dr Ste 200
Statesville, NC 28677-3471

Mailing address

276 Old Mocksville Rd Ste 100
Statesville, NC 28625-1951
Phone (704) 360-3637

Other practice location 1

276 Old Mocksville Rd Ste 100
Statesville, NC 28625-1951
Phone (704) 360-3637

Other names 1

  • Noel Davidson Other name

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
I20240311000636 NC Practitioner - Mental Health Counselor 0941646111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Wellness Solutions PLLCGroup PAC ID 8022341494, 143 clinicians

Practice addresses (Care Compare)

276 Old Mocksville Rd
Suite 100
Statesville, NC 28625-1951
Phone (704) 360-3637

3625 N Elm St
Suite 130
Greensboro, NC 27455-2604
Phone (704) 360-3637

633 Brookdale Dr
Suite 200
Statesville, NC 28677-3471
Phone (704) 360-3637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-20004NCMDAddiction (Substance Use Disorder) Counselor
10823NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Asheli Thompson PastSince Jun 23, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: integrativewellnesssolutions.christiandavidson@146232.advancedmd-direct.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1164840450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 OLD MOCKSVILLE RD STE 100",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251951",
            "telephone_number": "704-360-3637",
            "fax_number": "704-200-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 BROOKDALE DR STE 200",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773471",
            "telephone_number": "704-360-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 Old Mocksville Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286251951",
            "country_code": "US",
            "telephone_number": "704-360-3637",
            "fax_number": "704-200-9829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "CHRISTIAN",
        "middle_name": "NOEL",
        "credential": "LCMHC, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOEL",
            "last_name": "DAVIDSON",
            "credential": "LCASA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.