Individual provider Active NPI

Michelle Lee Kipick Cawn, PHD, LMFT

  • Marriage & Family Therapist
  • Huntersville, NC
National Provider Identifier
1205150463
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
943 Issued in NC
Practice address
8225 Dumphries Dr
Huntersville, NC 28078-5218
Phone
(704) 258-5593
NPI assigned
Mar 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 943 NC Primary

Addresses

Primary practice location

8225 Dumphries Dr
Huntersville, NC 28078-5218

Mailing address

8225 Dumphries Dr
Huntersville, NC 28078-5218
Phone (704) 258-5593

Other practice location 1

16507 Northcross Dr Ste F
Huntersville, NC 28078-5082
Phone (980) 999-4006

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
943NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntersville Counseling Center, PLLC Marriage & Family Therapist 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1205150463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 DUMPHRIES DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785218",
            "telephone_number": "704-258-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 DUMPHRIES DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785218",
            "telephone_number": "704-258-5593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16507 Northcross Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280785082",
            "country_code": "US",
            "telephone_number": "980-999-4006",
            "fax_number": "980-999-4058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIPICK CAWN",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "PHD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.