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

Mrs. Angela Jarvis Micolucci, LCMHCS

Individual provider Professional Counselor · NPI 1740434315

Mrs. Angela Jarvis Micolucci, LCMHCS is a Mental Health Counselor in Mooresville, North Carolina. Qualified in 1993, 33 years ago. Works from 2 locations and offers telehealth. Licensed in North Carolina.

Years since qualifying
33
Licensed in
NC
In the registry since
2008
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Practice location Address checks out

400 E Statesville Ave Ste 200
Mooresville, NC 28115-2588
Phone: (704) 360-8486
Fax: (704) 230-4674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3593 Denver Dr Unit 1431, Denver, NC 28037-7283 — (704) 953-4890

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7147S (NC)

Record details

NPI number1740434315
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCS
Sole proprietorNo
NPI enumeratedNovember 10, 2008
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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