Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Poppe, LCMHCA, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568236982

Kristen Poppe, LCMHCA, LCASA is a Mental Health Counselor in Raleigh, North Carolina. Qualified in 2023, 3 years ago. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

6112 Saint Giles St
Raleigh, NC 27612-7043
Phone: (919) 893-4465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A18783 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence A18783 (NC)

Record details

NPI number1568236982
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCA , LCASA
Sole proprietorNo
NPI enumeratedNovember 7, 2023
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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