Active NPI
Robbie B McCraw, LCMHC
- Mental Health Counselor
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15261
- Practice address
- 276 Old Mocksville Rd Ste 100
Statesville, NC 28625-1951 - Phone
- (704) 360-3637
- NPI assigned
- Feb 6, 2020
- Last updated
- Jun 11, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | A15261 | NC | |
| Mental Health Counselor | 101YM0800X | 15261 | NC | Primary |
Addresses
Primary practice location
276 Old Mocksville Rd Ste 100
Statesville, NC 28625-1951
Mailing address
723 Scholastic CT
Winston Salem, NC 27106-5136
Phone (252) 725-4919
Other practice location 1
8025 N Point Blvd Ste 230
Winston Salem, NC 27106-3288
Phone (336) 331-3162
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3625 N Elm St
Suite 130
Greensboro, NC 27455-2604
Phone (704) 360-3637
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A15261 | NC | MD | Counseling Psychologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance Health
- Psychologist
- Mooresville, NC
- NPI 1447760871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1629600887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 SCHOLASTIC CT",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271065136",
"telephone_number": "252-725-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 OLD MOCKSVILLE RD STE 100",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286251951",
"telephone_number": "704-360-3637"
}
],
"practiceLocations": [
{
"address_1": "8025 N Point Blvd Ste 230",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271063288",
"country_code": "US",
"telephone_number": "336-331-3162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCRAW",
"first_name": "ROBBIE",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "A15261",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "15261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.