Individual provider Active NPI

Anna Motta, LPCA

  • Mental Health Counselor
  • Hickory, NC
National Provider Identifier
1982118303
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A13053 Issued in NC
Practice address
321 7TH St NE
Hickory, NC 28601-5153
Phone
(828) 485-2195
NPI assigned
Nov 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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 A13053 NC Primary

Addresses

Primary practice location

321 7TH St NE
Hickory, NC 28601-5153

Mailing address

436 Frontier Dr
Lexington, NC 27292-0705

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
I20241126000210 NC Practitioner - Mental Health Counselor 6507391737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
QC Wellness Collective PLLCGroup PAC ID 7012448947, 6 clinicians

Practice addresses (Care Compare)

6115 Park S Dr
Suite 135
Charlotte, NC 28210-3269
Phone (704) 285-0241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A13053NCMDMental Health Counselor
13053NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QC Wellness Collective, PLLC CurrentSince Sep 25, 2024 Accepting new patients

Locations

6115 Park South Dr
Ste 135
Charlotte, NC 28210
Phone (704) 285-0241

Interoperability endpoints

  • Direct secure messaging: annamotta@bsa.direct.kno2fy.com

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1982118303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 FRONTIER DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272920705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 7TH ST NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015153",
            "telephone_number": "828-485-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTA",
        "first_name": "ANNA",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.