Integrative Wellness Solutions, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

INTEGRATIVE WELLNESS SOLUTIONS, PLLC

Doing business as

LifeStance Health

Practice address

122 Gateway Blvd Ste C
Mooresville, NC 28117-5544

Phone

(704) 360-3637

NPI assigned

Oct 12, 2017

Last updated

May 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Pardo

Title

Chief Legal Officer

Phone

(206) 399-1493

Specialties & licenses 10

Addresses

Other names 1

• LifeStance Health Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 228

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brianna Nicole Abbate, LCMHCA

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1760160642
  Medicare reassignment Care Compare group NPD
• Kim Addo, LPC, LCMHC

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1194187286
  Medicare reassignment Care Compare group NPD
• Jessica L Agnello, LCMHC

  • Mental Health Counselor
  • Huntersville, NC
  • NPI 1578116067
  Medicare reassignment Care Compare group NPD
• Winter Albohaire, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1679221527
  Medicare reassignment Care Compare group NPD
• Shelton Allison Jr., MD

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1538377981
  Medicare reassignment Care Compare group NPD
• Faith Todd Allman, MSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1114759859
  Medicare reassignment Care Compare group NPD
• Obasi Jaheem Amare Jr., LCMHC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1104377076
  Medicare reassignment Care Compare group NPD
• Donna Nicole Anderson, FNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cary, NC
  • NPI 1619353612
  Medicare reassignment Care Compare group NPD
• Sarah Baker, LCSW

  • Clinical Social Worker
  • Huntersville, NC
  • NPI 1205226685
  Medicare reassignment Care Compare group NPD
• John Andrew Barber, LMFT

  • Marriage & Family Therapist
  • Raleigh, NC
  • NPI 1508104381
  Medicare reassignment Care Compare group NPD
• Kimberly Carscaddon Barnett, LCMHCA A17316

  • Mental Health Counselor
  • Concord, NC
  • NPI 1376310458
  Medicare reassignment Care Compare group NPD
• Catherine Mary Bechard, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntersville, NC
  • NPI 1639041452
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1447760871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4962",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GATEWAY BLVD STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175544",
            "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",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10430 Harris Oak Blvd Ste L",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282697513",
            "country_code": "US",
            "telephone_number": "704-360-3637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7490 Waterside Crossing Blvd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "NC",
            "postal_code": "280373004",
            "country_code": "US",
            "telephone_number": "980-800-9380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Bradley St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280250911",
            "country_code": "US",
            "telephone_number": "704-360-3637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10620 Park Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282100106",
            "country_code": "US",
            "telephone_number": "704-360-3637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "206-399-1493"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeStance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychologist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.