Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Distaso, LCMHC

Individual provider Mental Health Counselor · NPI 1528890704

Brian Distaso, LCMHC is a Mental Health Counselor in Matthews, North Carolina. Qualified in 2021, 5 years ago. Practices with Integrative Wellness Solutions PLLC, a 139-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

855 Sam Newell Rd Ste 100
Matthews, NC 28105-7593
Phone: (704) 360-3637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4732 Lebanon Rd Ste C, Mint Hill, NC 28227-9112 — (980) 298-7302

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 17591 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 17591 (NC)

Record details

NPI number1528890704
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedAugust 16, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address6016 Storehouse Rd, Mint Hill, NC 28227-9294

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Integrative Wellness Solutions Pllc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Matthews