Angela Jarvis Micolucci, LCMHCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7147S Issued in NC

Practice address

400 E Statesville Ave Ste 200
Mooresville, NC 28115-2588

Phone

(704) 360-8486

Fax

(704) 230-4674

NPI assigned

Nov 10, 2008

Last updated

Jun 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Southern Family Medicine IncGroup PAC ID 0840558342, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16389/brand/1/csg/1/fhir/r4

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.

• Southern Family Medicine, Inc.

  • Community/Behavioral Health Agency
  • Mooresville, NC
  • NPI 1881144590
  Medicare reassignment Care Compare group NPD Authorized official
• Stepping Point Counseling LLC

  • Professional Counselor
  • Denver, NC
  • NPI 1508734245
  NPD Authorized official

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1740434315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E STATESVILLE AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152581",
            "telephone_number": "704-953-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E STATESVILLE AVE STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152588",
            "telephone_number": "704-360-8486",
            "fax_number": "704-230-4674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3593 Denver Dr Unit 1431",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "NC",
            "postal_code": "280377283",
            "country_code": "US",
            "telephone_number": "704-953-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICOLUCCI",
        "first_name": "ANGELA",
        "middle_name": "JARVIS",
        "name_prefix": "Mrs.",
        "credential": "LCMHCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7147S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dane Alexander Messer
• Kimberly Sumner Messina, PA-C
• Michael M Haahs MD PA
• Chad Joseph Michel, PA-C
• Stephanie Marie Michel, PA-C
• Mike D Management (Ellie Mental Health)
• Elizabeth Hamer Miles, MA, CCC-SLP
• Alexandrea Paige Miletto
• Pamela L Millan, MFT
• Allison K Miller, LAT, ATC

• Professional Counselor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.

Verify at the official NPI Registry.