Active NPI
Stefanie Renee Mann, LCMHC
- Mental Health Counselor
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S11942
- Practice address
- 165 West Franklin Blvd.
Gastonia, NC 28052 - Phone
- (704) 865-3010
- NPI assigned
- Nov 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A11942 | NC | |
| Mental Health Counselor | 101YM0800X | S11942 | NC | Primary |
Addresses
Primary practice location
165 West Franklin Blvd.
Gastonia, NC 28052
Mailing address
2523 O Hara Dr
Charlotte, NC 28273-3854
Phone (704) 975-8118
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10620 Park Rd
Suite 208
Charlotte, NC 28210-0106
Phone (704) 360-3637
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A11942 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Wellness Solutions, PLLC | Mental Health | Current | Accepting new patients |
Locations
10620 Park Rd
Ste 208
Charlotte, NC 28210
Phone (980) 442-0140
10430 Harris Oak Blvd
Ste L
Charlotte, NC 28269
Phone (704) 317-2930
3625 N Elm St
Ste 130
Greensboro, NC 27455
9525 Birkdale Crossing Dr
Ste 300
Huntersville, NC 28078
Phone (704) 317-2930
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": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1487028098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2523 O HARA DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282733854",
"telephone_number": "704-975-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 WEST FRANKLIN BLVD.",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28052",
"telephone_number": "704-865-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "STEFANIE",
"middle_name": "RENEE",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A11942",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "S11942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.