MEDICARE: KRISTIN RAE MEADOWS LPC, LCAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	10953	NC
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	21550	NC
3	101YM0800X	Mental Health Counselor	10953	NC

General Provider Information

NPI Number	:	1346658341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN RAE MEADOWS LPC, LCAS

Provider Business Mailing Address
First Line	:	1340 PATTON AVE STE D
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28806-2623
Country	:	US
Telephone Number	:	828-361-9593
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 PATTON AVE STE D
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28806-2623
Country	:	US
Telephone Number	:	828-361-9593
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2014
Last Update Date	:	05/22/2026

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