Khiana Gray Wyatt-Locus, LCSW, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C017289 Issued in NC

Practice address

7151 Okelly Chapel Rd # 326
Cary, NC 27519-6849

Phone

(910) 939-1110

NPI assigned

Apr 7, 2022

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

Other names 1

• Khiana Gray Wyatt Former name

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, NC, SC

  Medicare reassignment NPD
• Teatime With Khi, PLLC

  • Clinical Social Worker
  • Hubert, NC
  • NPI 1538906144
  NPD Authorized official

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1912649351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 OKELLY CHAPEL RD # 326",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196849",
            "telephone_number": "910-939-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 OKELLY CHAPEL RD # 326",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196849",
            "telephone_number": "910-939-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT-LOCUS",
        "first_name": "KHIANA",
        "middle_name": "GRAY",
        "credential": "LCSW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHIANA",
            "last_name": "WYATT",
            "middle_name": "GRAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mallisha Wright
• Megan Wright, PMHNP-BC
• Tiffany Wright, RBT
• Hera Wu, MD
• Riane Wubbenhorst, OT
• Elita N Wyckoff, MD
• Chante Quammar Wynn
• Haiyan Xiao
• Zuyan Xu
• Katie Yadusky, LCSWA

• Clinical Social Worker in Cary, NC
• Providers in Cary, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.