Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTIN D DICKIE LCMHC, LCAS
NPI 1376846915
Counselor - Mental Health in Charlotte, NC

Active since December 20, 2010Opted out of Medicare · through Mar 23, 2028
5970 FAIRVIEW RD STE 715, CHARLOTTE, NC 28210(704) 237-7037 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin D Dickie Lcmhc, Lcas NPPES

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

KRISTIN D DICKIE LCMHC, LCAS (NPI 1376846915) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (7649) and active in the NPI registry since December 2010. She has opted out of Medicare through March 23, 2028.

NPPES Registry Identity

NPI1376846915
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTIN D DICKIECredential: LCMHC, LCAS
Location Address5970 FAIRVIEW RD STE 715Charlotte, NC 28210-2107
Mailing Address5970 Fairview Rd Ste 715Charlotte, NC 28210-2107 · (704) 237-7037
Sole ProprietorYes
Enumeration DateDecember 20, 2010
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
NPI 1376846915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · 7649
5970 FAIRVIEW RD STE 715, Charlotte, NC 28210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kristin D Dickie Lcmhc, Lcas has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 23, 2024 through March 23, 2028.

Opt-Out Effective DateMarch 23, 2024
Opt-Out In Effect ThroughMarch 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Dietitian, Registered
5970 FAIRVIEW RD STE 715
CHARLOTTE, NC 28210
Counselor
5970 FAIRVIEW RD STE 715
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 Kristin Dickie's NPI number?

The NPI number for Kristin Dickie is 1376846915. It was assigned to this individual provider in the NPPES registry on December 20, 2010.

Where is Kristin Dickie located?

Kristin Dickie practices at 5970 Fairview Rd Ste 715, Charlotte, NC 28210. The listed phone number is (704) 237-7037.

What is Kristin Dickie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kristin Dickie enrolled in Medicare?

No. Kristin Dickie has opted out of Medicare through March 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristin Dickie was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.