Carmella Dixon Crews, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4629 Issued in NC

Practice address

17824 Statesville Rd Ste 123
Cornelius, NC 28031-6101

Phone

(704) 951-4053

Fax

(267) 427-8628

NPI assigned

Jun 15, 2007

Last updated

Aug 29, 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

Opted out of Medicare

Yes, effective Nov 13, 2024 through Nov 13, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cohesive Counseling Services, PLLC

  • Professional Counselor
  • Cornelius, NC
  • NPI 1902048432
  NPD Authorized official

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1740485242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "MT HOLLY",
            "state": "NC",
            "postal_code": "281200142",
            "telephone_number": "704-951-4053",
            "fax_number": "267-427-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17824 STATESVILLE RD STE 123",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316101",
            "telephone_number": "704-951-4053",
            "fax_number": "267-427-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREWS",
        "first_name": "CARMELLA",
        "middle_name": "DIXON",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Catherine Crage
• Haley Celeste Craig-Kovach, DO
• Cre Group Inc (Optimize Chiropractic)
• Noah Oliver Crees, MD
• Lauren Bennett Cress, PA
• Jamie Dyvig Crews
• Karen L Crilly, PT, MAPT, DPT
• Erin Renae Crome, MOT, OTR/L
• Fia Cronin, PHYSICAL THERAPIST
• Laura Rahel Crosby, LCMHCA

• Professional Counselor in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.

Verify at the official NPI Registry.