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

David Anderson Jr., LCMHC

Individual provider Mental Health Counselor · NPI 1215627674

David Anderson Jr., LCMHC is a Mental Health Counselor in Mooresville, North Carolina. Qualified in 2022, 4 years ago. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2023
Specialties on file
2

Practice location Address checks out

122 Gateway Blvd Ste C
Mooresville, NC 28117-5544
Phone: (704) 360-3637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 18698 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence A18698 (NC)

Record details

NPI number1215627674
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedMay 9, 2023
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Mooresville