Kimberly Childress, MA, LPC, LCMHCS
NPI 1043675275 · Mental Health Counselor · Charlotte, NC
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Childress, MA, LPC, LCMHCS is a Mental Health Counselor provider in Charlotte, NC (NPI 1043675275).
Provider details
- NPI number
- 1043675275
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPC, LCMHCS
- Sex
- Female
- Sole proprietor
- No
- License
- 6208 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 2000 Regency Pkwy Ste 255Cary, NC 27518-8511Phone: (704) 360-3637Fax: (704) 200-9829
- 514 W Palmetto St Ste 2bFlorence, SC 29501-4428Phone: (843) 250-4589Fax: (843) 410-5698
- 1803 Cherokee RdFlorence, SC 29501-4184Phone: (843) 409-3046
Registry dates
- Enumerated
- 2015-12-14
- Last updated
- 2023-12-14
- Certified
- 2023-12-14
Frequently asked questions
- What is Kimberly Childress's NPI number?
- Kimberly Childress's National Provider Identifier (NPI) is 1043675275, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Childress's specialty?
- Kimberly Childress is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Kimberly Childress located?
- Kimberly Childress's practice location on file with NPPES is 10430 Harris Oak Blvd Ste L, Charlotte, NC 28269-7513.
- What is Kimberly Childress's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Childress is (704) 360-3637.
- Does Kimberly Childress accept Medicare?
- Kimberly Childress is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Childress's NPI active?
- Yes — Kimberly Childress's NPI (1043675275) is active in the NPPES registry as of the last update on 2023-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.