KIMBERLY ROCHELLE BLACK LPC;LCAS-A NPI 1063997237

NPI Information

  • NPI: 1063997237
  • Provider Name: KIMBERLY ROCHELLE BLACK, LPC;LCAS-A
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 31 E MAIN AVE
    TAYLORSVILLE, NC
    ZIP 28681
  • Phone: (704) 872-0234

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NPI Details

Kimberly Rochelle Black, LPC;LCAS-A is a professional counselor in Taylorsville, NC. Kimberly Rochelle Black, LPC;LCAS-A NPI is 1063997237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

31 E MAIN AVE
TAYLORSVILLE, NC
ZIP 28681-540
Phone: (704) 872-0234

The enumeration date for this NPI number is 10/3/2018 and was last updated on 10/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)24177NORTH CAROLINANo
2101YP2500XCounselorProfessional12214NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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