KALEIGH RAE MARTIN LCMHC, NCC
NPI 1497475214
Counselor - Mental Health in Charlotte, NC

Q: What is Kaleigh Martin's NPI number?

The NPI number for Kaleigh Martin is 1497475214. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Q: What is Kaleigh Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaleigh Martin was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since August 31, 2022PECOS Enrolled

10620 PARK RD STE 208, CHARLOTTE, NC 28210(704) 360-3637(980) 474-4930 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2025, Sep 27, 2022, Aug 31, 2022 (3 updates tracked since 2022).

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About Kaleigh Rae Martin Lcmhc, Ncc NPPES

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

KALEIGH RAE MARTIN LCMHC, NCC (NPI 1497475214) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (17272) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497475214

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKALEIGH RAE MARTINCredential: LCMHC, NCC

Location Address10620 PARK RD STE 208Charlotte, NC 28210-0106

Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173

Phone(704) 360-3637

Fax(980) 474-4930

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 31, 2022

Last NPPES UpdateApril 16, 20253 updates tracked since enumeration

NPPES CertifiedApril 16, 2025

✔ NPI 1497475214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 17272

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License A17272 (NC)

10620 PARK RD STE 208, Charlotte, NC 28210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaleigh Rae Martin Lcmhc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890211619

PECOS Enrollment IDI20250424002425

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 10

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

PRATIMA DAHAL

Nurse Practitioner (Psychiatric/Mental Health)