Olivia Ralea Cundiff

Primary specialty

CounselorTaxonomy code 101Y00000X

License

A20657 Issued in NC

Practice address

203 Broadview Ave
Lexington, NC 27295-2013

Phone

(336) 466-4136

NPI assigned

Oct 14, 2024

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Live in the Moment Counseling PLLC

  • Mental Health Counselor
  • Lexington, NC
  • NPI 1275448128
  NPD (past) Authorized official

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1346060571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BROADVIEW AVE",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272952013",
            "telephone_number": "336-466-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BROADVIEW AVE",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272952013",
            "telephone_number": "336-466-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "OLIVIA",
        "middle_name": "RALEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A20657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Treatment Centers of North Carolina, P.C. (Crossroads Treatment Centers Lexington)
• Taylor Marie Crum
• Jeffrey Cruz Castillo, LAT, ATC
• Jimmarck Perel Castisimo Cuenta, DO
• Joseph William Cullom, M.D.
• Douglas E Cutsinger, PHARM.D.
• D Sim Siceloff DDS PA
• Sara Daffron, MD
• Cherise Monet Dailey, NP
• Kierra Dalton

• Counselor in Lexington, NC
• Providers in Lexington, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.