Individual provider Active NPI

Kacie Thomas-Crawford, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1366017543
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15960
Practice address
7104 Fox Creek LN
Charlotte, NC 28269-5063
Phone
(980) 621-7247
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 15960 Primary

Addresses

Primary practice location

7104 Fox Creek LN
Charlotte, NC 28269-5063

Mailing address

7104 Fox Creek LN Apt 201
Charlotte, NC 28269-5064
Phone (980) 621-7247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250626002722 NC Practitioner - Mental Health Counselor 4688186356 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 13, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kacie.thomas-crawford.1@25899.direct.athenahealth.com

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": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1366017543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 FOX CREEK LN APT 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695064",
            "telephone_number": "980-621-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7104 FOX CREEK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695063",
            "telephone_number": "980-621-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-CRAWFORD",
        "first_name": "KACIE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "15960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.