Active NPI
Crystal Dawn O'Gorman, LMFT
- Marriage & Family Therapist
- Charlotte, NC
National Provider Identifier
1891495818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 01661
- Practice address
- 6401 Carmel Rd Ste 105
Charlotte, NC 28226-8364 - Phone
- (704) 275-3432
- NPI assigned
- Mar 8, 2023
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 01661 | NC | Primary |
| Marriage & Family Therapist | 106H00000X | 8214 | SC |
Addresses
Primary practice location
6401 Carmel Rd Ste 105
Charlotte, NC 28226-8364
Mailing address
6401 Carmel Rd Ste 105
Charlotte, NC 28226-8364
Phone (704) 275-3432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01661 | NC | MD | Marriage & Family Therapist |
| 8214 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One:12 Counseling PLLC | Marriage & Family Therapist | Current | Accepting new patients |
| Woven Hearts Counseling PLLC | Marriage & Family Therapist | Current | Accepting new patients |
| Clear Creek Counseling and Consulting PC | Past | Accepting new patients |
Locations
7751 Ballantyne Commons Pkwy
#102
Charlotte, NC 28277
Phone (704) 626-6550
6401 Carmel Rd
Ste 105
Charlotte, NC 28226
Phone (704) 275-3432
Organizations & group practices 3
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.
-
- Marriage & Family Therapist
- Charlotte, NC
- NPI 1841134798
-
- Professional Counselor
- Charlotte, NC
- NPI 1891110060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772323200000",
"number": "1891495818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 CARMEL RD STE 105",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282268364",
"telephone_number": "704-275-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 CARMEL RD STE 105",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282268364",
"telephone_number": "704-275-3432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'GORMAN",
"first_name": "CRYSTAL",
"middle_name": "DAWN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2026-03-01",
"certification_date": "2026-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "01661",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "8214",
"primary": false
}
],
"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 Mar 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.