KHADIJAH JEAN-MARIE LEWIS
NPI 1083237598
Marriage & Family Therapist in Charlotte, NC

Active since May 19, 2020PECOS EnrolledAccepts Medicare Assignment
6324 FAIRVIEW RD STE 460, CHARLOTTE, NC 28210(980) 302-8611(980) 302-8624 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2025, May 19, 2020 (2 updates tracked since 2020).

About Khadijah Jean-marie Lewis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHADIJAH JEAN-MARIE LEWIS (NPI 1083237598) is an individual marriage & family therapist in Charlotte, North Carolina, licensed in North Carolina (00268) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083237598
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKHADIJAH JEAN-MARIE LEWIS
Location Address6324 FAIRVIEW RD STE 460Charlotte, NC 28210-3374
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 366-1264
Fax(980) 302-8624
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 19, 2020
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1083237598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in NC · 00268
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

6324 FAIRVIEW RD STE 460, Charlotte, NC 28210

Other Names 1

Former Name (1)Khadijah Byrd

Secondary Practice Location 1

Location 16633 Fairview RdCharlotte, NC 28210-3321 · Phone (704) 366-1264 ext. 5539

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Khadijah Jean-marie Lewis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305336686
PECOS Enrollment IDI20251105002716
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
6324 FAIRVIEW RD STE 460
CHARLOTTE, NC 28210
Social Worker (Clinical)
6324 FAIRVIEW RD STE 460
CHARLOTTE, NC 28210
Social Worker (Clinical)
6324 FAIRVIEW RD STE 460
CHARLOTTE, NC 28210
Social Worker (Clinical)
6324 FAIRVIEW RD STE 460
CHARLOTTE, NC 28210
Physician Assistant
6324 FAIRVIEW RD STE 460
CHARLOTTE, NC 28210
Nurse Practitioner
6324 FAIRVIEW RD STE 460
CHARLOTTE, NC 28210
Social Worker (Clinical)
6324 FAIRVIEW RD STE 460
CHARLOTTE, NC 28210
Psychiatry & Neurology (Psychiatry)
6324 FAIRVIEW RD STE 460
CHARLOTTE, NC 28210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khadijah Lewis's NPI number?

The NPI number for Khadijah Lewis is 1083237598. It was assigned to this individual provider in the NPPES registry on May 19, 2020. The provider is also known as Khadijah Byrd.

Where is Khadijah Lewis located?

Khadijah Lewis practices at 6324 Fairview Rd Ste 460, Charlotte, NC 28210. The listed phone number is (980) 302-8611.

What is Khadijah Lewis's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Khadijah Lewis enrolled in Medicare?

Yes. Khadijah Lewis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Khadijah Lewis accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Khadijah Lewis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Khadijah Lewis was last updated on September 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.