Kimberly Rochelle Black, LPC;LCAS-A
NPI 1063997237ActiveIndividual· Counselor, Professional· Taylorsville, NC
Counselor, Professional (LPC;LCAS-A) in Taylorsville, North Carolina, licensed in NC, with an NPI issued in October 2018.
Overview
| NPI | 1063997237 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC;LCAS-A |
| Sole proprietor | Yes |
| NPI issued | Oct 3, 2018 |
| Last updated in NPPES | Oct 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 12214 | NC |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 24177 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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