Individual provider Active NPI

Erin Melissa Corbett, LCMHC

  • Mental Health Counselor
  • Mooresville, NC
National Provider Identifier
1790328029
Registry record updated Aug 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15124 Issued in NC
Practice address
207 S Broad St Ste 1
Mooresville, NC 28115-3189
Phone
(704) 676-2363
NPI assigned
Oct 18, 2019
Last updated
Aug 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 15124 NC Primary

Addresses

Primary practice location

207 S Broad St Ste 1
Mooresville, NC 28115-3189

Mailing address

516 River Hwy Ste D
PMB 198
Mooresville, NC 28117-6830
Phone (704) 676-2363

Other names 1

  • Erin Melissa Ingraham Former 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
I20240216002838 NC Practitioner - Mental Health Counselor 3779927819 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15124NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eunoia Counseling and Consulting PLLC CurrentSince Sep 5, 2023 Accepting new patients
Turning Point Homes, LLC Counselor CurrentSince Jan 1, 2024 Accepting new patients

Locations

425 Ashley Ridge Blvd
Ste 340
Shreveport, LA 71106

207 S Broad St
Ste 1
Mooresville, NC 28115
Phone (704) 676-2363

919 N Main St
Mooresville, NC 28115
Phone (704) 360-8486

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692489600000",
    "number": "1790328029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 RIVER HWY STE D",
            "address_2": "PMB 198",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176830",
            "telephone_number": "704-676-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S BROAD ST STE 1",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153189",
            "telephone_number": "704-676-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "ERIN",
        "middle_name": "MELISSA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "INGRAHAM",
            "middle_name": "MELISSA",
            "credential": "LCMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.