Individual provider Active NPI

Anna Grace Tagaram, LCMHC

  • Mental Health Counselor
  • Denver, NC
National Provider Identifier
1790455111
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16970 Issued in NC
Practice address
7490 Waterside Crossing Blvd Ste 2a
Denver, NC 28037-3004
Phone
(704) 360-3637
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 16970 NC Primary

Addresses

Primary practice location

7490 Waterside Crossing Blvd Ste 2a
Denver, NC 28037-3004

Mailing address

7490 Waterside Crossing Blvd Ste 2a
Denver, NC 28037-3004

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
I20241017000904 NC Practitioner - Mental Health Counselor 7214469048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Wellness Solutions PLLCGroup PAC ID 8022341494, 143 clinicians

Practice addresses (Care Compare)

925 Bradley St NE
Concord, NC 28025-0911
Phone (704) 360-3637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness Solutions, PLLC Counselor CurrentSince Aug 22, 2024 Accepting new patients

Locations

10430 Harris Oak Blvd
Ste L
Charlotte, NC 28269
Phone (704) 317-2930

925 Bradley St NE
Concord, NC 28025
Phone (704) 262-9885

925 Bradley St NE
Fl 1
Concord, NC 28025
Phone (980) 766-1030

7490 Waterside Crossing Blvd
Ste 2A
Denver, NC 28037
Phone (980) 800-9380

3625 N Elm St
Ste 130
Greensboro, NC 27455

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1790455111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 WATERSIDE CROSSING BLVD STE 2A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280373004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 WATERSIDE CROSSING BLVD STE 2A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280373004",
            "telephone_number": "704-360-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGARAM",
        "first_name": "ANNA GRACE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.