Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Hubbard Sturdivant, MA, LCMHC, LCAS-A

Individual provider Counselor · NPI 1285877902

Kimberly Hubbard Sturdivant, MA, LCMHC, LCAS-A is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 2008, 18 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
18
Licensed in
NC
In the registry since
2009
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone: (704) 384-9414
Fax: (704) 384-5735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 920 Blairhill Rd Ste B114, Charlotte, NC 28217-1565 — (704) 970-1803
  • 284 Executive Park Dr, Concord, NC 28025-1831 — (704) 939-1100

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 9082 (NC)
Counselor Taxonomy 101Y00000X · Licence A9082 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 3578A (NC)

Record details

NPI number1285877902
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LCMHC , LCAS-A
Sole proprietorNo
NPI enumeratedApril 10, 2009
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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