Kimberly Anne Blackmon
LPC, NCC, LCAS, CCS | Professional Counselor
429 Billingsley Rd, Mecklenburg County Amh Sasc, Charlotte
North Carolina, 28211-1007
704-336-5651 704-336-5105
Maps & DirectionsKimberly Anne Blackmon is a Charlotte, North Carolina based counselor who is specialized as Professional Counselor. Active license number of Kimberly Anne Blackmon is 398 for Addiction (Substance Use Disorder) Counselor in North Carolina. Her current practice location is 429 Billingsley Rd, Mecklenburg County Amh Sasc, Charlotte. Patients can book an appointment with her at 704-336-5651.
Kimberly Anne Blackmon is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Kimberly Anne Blackmon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kimberly Anne Blackmon |
| Specialization: | Professional Counselor |
| Gender: | Female |
| Credentials: | LPC, NCC, LCAS, CCS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 429 Billingsley Rd, Mecklenburg County Amh Sasc, Charlotte,
North Carolina, 28211-1007 |
| Phone: | 704-336-5651 |
| Fax: | 704-336-5105 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1083747224 |
| NPI Enumeration Date: | 14 Mar, 2007 |
| NPI Last Update On: | 22 Oct, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kimberly Anne Blackmon are as mentioned below.
| License Number | Specialization | State | Status | |
| 398 | Addiction (Substance Use Disorder) Counselor | North Carolina | Primary | |
| 3706S | Professional Counselor | North Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kimberly Anne Blackmon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6102838 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12631 Bullock Greenway Blvd,
Charlotte, North Carolina |
| Zip: | 28277-8177 |
| Phone Number: | 980-245-8433 |
Patients can reach Kimberly Anne Blackmon at
429 Billingsley Rd, Mecklenburg County Amh Sasc, Charlotte, North Carolina or can
call to book an appointment on 704-336-5651.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.