Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Dr. Kerry Lynn Shipman, PHD, CADC-R, CPSS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134033152

Dr. Kerry Lynn Shipman, PHD, CADC-R, CPSS is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

6636 E W T Harris Blvd Ste E
Charlotte, NC 28215-5125
Phone: (704) 553-5392
Fax: (980) 333-4063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CADC-28341 (NC)
Peer Specialist Taxonomy 175T00000X (NC)

Record details

NPI number1134033152
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , CADC-R , CPSS
Sole proprietorYes
NPI enumeratedSeptember 29, 2026
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026

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