Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kimberly Lynn Childress, MA, LPC, LCMHCS

Mental Health Counselor in Charlotte, NC · enumerated 2015.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043675275

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Registry record

Entity type Individual (Type 1)

Name Kimberly Lynn Childress

Credential MA, LPC, LCMHCS

Sex Female

Practice address 10430 Harris Oak Blvd Ste L, Charlotte, NC, 28269

Phone (704) 360-3637

Fax (704) 200-9829

Enumeration date Dec 14, 2015

Last updated in NPPES Dec 14, 2023

Taxonomy & licenses

101Y00000X Counselor Behavioral Health & Social Service Providers · License 6208 (SC) Secondary

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License S15220 (NC) Primary

LPC · Licensed Professional Counselor: A licensed mental-health counselor providing psychotherapy. About the LPC credential

Other identifiers

Identifier	Type	State	Issuer
EJ7GST1IO450JIH	Medicaid	SC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Kimberly Childress?

Kimberly Childress is registered in NPPES with the primary taxonomy of Mental Health Counselor. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-14.