Individual provider Active NPI

Courtney Judith Craven, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1912570508
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16663 Issued in NC
Practice address
5309 Monroe Rd Ste 110
Charlotte, NC 28205-7829
Phone
(704) 774-5284
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 16663 NC Primary

Addresses

Primary practice location

5309 Monroe Rd Ste 110
Charlotte, NC 28205-7829

Mailing address

5309 Monroe Rd Ste 110
Charlotte, NC 28205-7829
Phone (704) 774-5284

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

LicenseStateTypeSpecialty
16663NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Foundations Counseling Mental Health CurrentSince Nov 24, 2025 Accepting new patients
Southlake Center for Self Discovery PastSince Jul 25, 2021 Accepting new patients
Southlake Counseling & Consulting PastSince Jul 25, 2021 Accepting new patients

Locations

5309 Monroe Rd
Ste 110
Charlotte, NC 28205
Phone (704) 774-5284

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.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1912570508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 MONROE RD STE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057829",
            "telephone_number": "704-774-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 MONROE RD STE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057829",
            "telephone_number": "704-774-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "COURTNEY",
        "middle_name": "JUDITH",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16663",
            "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 Apr 8, 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.

Verify at the official NPI Registry.