Active NPI
Karen Heinbockel Crane, PSY.D.
- Clinical Psychologist
- Mint Hill, NC
National Provider Identifier
1184797664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3301
- Practice address
- 6439 Hove Rd.
Mint Hill, NC 28227 - Phone
- (704) 458-8188
- NPI assigned
- Nov 15, 2006
- Last updated
- Jan 20, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 3301 | NC | Primary |
Addresses
Primary practice location
6439 Hove Rd.
Mint Hill, NC 28227
Mailing address
5970 Fairview Rd
Suite 412
Charlotte, NC 28210
Phone (704) 458-8188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000946 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3301 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1184797664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5970 FAIRVIEW RD",
"address_2": "SUITE 412",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28210",
"telephone_number": "704-458-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6439 HOVE RD.",
"city": "MINT HILL",
"state": "NC",
"postal_code": "28227",
"telephone_number": "704-458-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANE",
"first_name": "KAREN",
"middle_name": "HEINBOCKEL",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000946",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mint Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.