KIMBERLY HUBBARD STURDIVANT M.A. LCMHC LCAS-A NPI 1285877902

NPI Information

  • NPI: 1285877902
  • Provider Name: KIMBERLY HUBBARD STURDIVANT, M.A., LCMHC, LCAS-A
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 HAWTHORNE LN
    CHARLOTTE, NC
    ZIP 28204
  • Phone: (704) 384-9414

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NPI Details

Kimberly Hubbard Sturdivant, M.A., LCMHC, LCAS-A is a mental health counselor in Charlotte, NC with 17 years of experience. Kimberly Hubbard Sturdivant, M.A., LCMHC, LCAS-A NPI is 1285877902. 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:

200 HAWTHORNE LN
CHARLOTTE, NC
ZIP 28204-515
Phone: (704) 384-9414
Fax: (704) 384-5735

The NPI 1285877902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/10/2009 and was last updated on 7/2/2025.

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
1101Y00000XCounselorA9082NORTH CAROLINANo
2101YA0400XCounselorAddiction (Substance Use Disorder)3578ANORTH CAROLINANo
3101YM0800XCounselorMental Health9082NORTH 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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