Active NPI
Kristin D Dickie, LCMHC, LCAS
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1376846915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7649
- Practice address
- 5970 Fairview Rd Ste 715
Charlotte, NC 28210-2107 - Phone
- (704) 237-7037
- NPI assigned
- Dec 20, 2010
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7649 | NC | Primary |
Addresses
Primary practice location
5970 Fairview Rd Ste 715
Charlotte, NC 28210-2107
Mailing address
5970 Fairview Rd Ste 715
Charlotte, NC 28210-2107
Phone (704) 237-7037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 23, 2024 through Mar 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7649 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1376846915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5970 FAIRVIEW RD STE 715",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282102107",
"telephone_number": "704-237-7037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5970 FAIRVIEW RD STE 715",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282102107",
"telephone_number": "704-237-7037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKIE",
"first_name": "KRISTIN",
"middle_name": "D",
"credential": "LCMHC, LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-20",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "7649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.