Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Anne Blackmon, LPC, NCC, LCAS, CCS

Individual provider Professional Counselor · NPI 1083747224

Kimberly Anne Blackmon, LPC, NCC, LCAS, CCS is a Professional Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

429 Billingsley Rd Mecklenburg County Amh Sasc
Charlotte, NC 28211-1007
Phone: (704) 336-5651
Fax: (704) 336-5105
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Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 398 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 3706S (NC)

Record details

NPI number1083747224
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , NCC , LCAS , CCS
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESOctober 22, 2014

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