NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Kimberly Anne Blackmon, LPC, NCC, LCAS, CCS

Addiction (Substance Use Disorder) Counselor in Charlotte, NC · enumerated 2007.

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

National Provider Identifier

1083747224

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Registry record

Entity type Individual (Type 1)
Name Kimberly Anne Blackmon
Credential LPC, NCC, LCAS, CCS
Sex Female
Practice address Charlotte, NC, 28211
Fax (704) 336-5105
Enumeration date Mar 14, 2007
Last updated in NPPES Oct 22, 2014

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 3706S (NC) Secondary
101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 398 (NC) Primary
LPC · Licensed Professional Counselor: A licensed mental-health counselor providing psychotherapy. About the LPC credential

Other identifiers

Identifier Type State Issuer
6102838 Medicaid NC -

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

What specialty is Kimberly Blackmon?
Kimberly Blackmon is registered in NPPES with the primary taxonomy of Addiction (Substance Use Disorder) Counselor. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
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.

Other providers at this practice address

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Tony Beatty Addiction (Substance Use Disorder) Counselor · Charlotte, NC NPI 1013009117 Mecklenburg County Area Mh, Dd and Sa Authority State or Local Public Health Clinic/Center · Charlotte, NC NPI 1891882528 Mecklenburg County Area Mental Health Authority Community/Behavioral Health Agency · Charlotte, NC NPI 1609951714 Frankie Brown Addiction (Substance Use Disorder) Counselor · Charlotte, NC NPI 1629155247 Mecklenburg County Area Mental Health Authority Addiction (Substance Use Disorder) Counselor · Charlotte, NC NPI 1275603433 Kelly White Addiction (Substance Use Disorder) Counselor · Charlotte, NC NPI 1518015098 Matthew Dillworth Professional Counselor · Charlotte, NC NPI 1578779278 Beverly Brookshire Addiction (Substance Use Disorder) Counselor · Charlotte, NC NPI 1114121670

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-22.