Individual provider Active NPI

Deborah Anne Kurtz, LCAS-A

  • Mental Health Counselor
  • Mooresville, NC
National Provider Identifier
1457900557
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15296 Issued in NC
Practice address
108 Gateway Blvd Ste 207
Mooresville, NC 28117-5597
Phone
(980) 222-1056
Fax
(980) 317-7051
NPI assigned
Sep 11, 2019
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 25923 NC
Mental Health Counselor 101YM0800X 15296 NC Primary

Addresses

Primary practice location

108 Gateway Blvd Ste 207
Mooresville, NC 28117-5597

Mailing address

115 Spinnaker CT
Davidson, NC 28036-7102
Phone (980) 222-1056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25923NCMDAddiction (Substance Use Disorder) Counselor
15296NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Integrative Wellness, PLLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

108 Gateway Blvd
Ste 207
Mooresville, NC 28117
Phone (704) 664-1175

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, 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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1457900557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SPINNAKER CT",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367102",
            "telephone_number": "980-222-1056",
            "fax_number": "980-317-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GATEWAY BLVD STE 207",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175597",
            "telephone_number": "980-222-1056",
            "fax_number": "980-317-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "25923",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.