Active NPI
Shelley T. Kraft, LPA
- Clinical Psychologist
- Raleigh, NC
National Provider Identifier
1003827064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1871
- Practice address
- 312 W Millbrook Rd
Suite 109
Raleigh, NC 27609-4389 - Phone
- (919) 845-9977
- Fax
- (919) 845-9761
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1871 | NC | Primary |
Addresses
Primary practice location
312 W Millbrook Rd
Suite 109
Raleigh, NC 27609-4389
Mailing address
115 Michael Way
Clayton, NC 27520-5507
Phone (919) 550-4880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1871 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triangle Pastoral Counseling | Past | Accepting new patients |
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.
-
- Pastoral Counselor
- Raleigh, NC
- NPI 1073683702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003827064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MICHAEL WAY",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275205507",
"telephone_number": "919-550-4880",
"fax_number": "919-845-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 W MILLBROOK RD",
"address_2": "SUITE 109",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094389",
"telephone_number": "919-845-9977",
"fax_number": "919-845-9761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAFT",
"first_name": "SHELLEY",
"middle_name": "T.",
"name_prefix": "Mrs.",
"credential": "LPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.