Kimberly Hubbard Sturdivant, M.A., LCMHC, LCAS-A
Counselor, Mental Health in Charlotte, NC. Individual provider (NPI-1).
NPI number1285877902
StatusActive
Last updated in NPPESJul 2, 2025
Details
- NPI
- 1285877902
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Hubbard Sturdivant
- Credential
- M.A., LCMHC, LCAS-A
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2009
- Certification date
- Jul 2, 2025
- Last updated
- Jul 2, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 9082 | NC | Yes |
| 101Y00000X | Counselor | A9082 | NC | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 3578A | NC |
Practice location
200 Hawthorne LnCharlotte, NC 28204-2515
Phone 704-384-9414 · Fax 704-384-5735
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Other practice locations
920 Blairhill Rd Ste B114
Charlotte, NC 28217-1565
Charlotte, NC 28217-1565
Phone 704-970-1803
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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