Kerry Lynn Shipman, PHD, CADC-R, CPSS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CADC-28341 Issued in NC

Practice address

6636 E W T Harris Blvd Ste E
Charlotte, NC 28215-5125

Phone

(704) 553-5392

Fax

(980) 333-4063

NPI assigned

Sep 29, 2026

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Ship Group Services LLC

  • Non-emergency Medical Transport (VAN)
  • Charlotte, NC
  • NPI 1003685611
  Authorized official Same address or phone
• The Ship Group Services LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1023768579
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1134033152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 E W T HARRIS BLVD STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155125",
            "telephone_number": "704-553-5392",
            "fax_number": "980-333-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 E W T HARRIS BLVD STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155125",
            "telephone_number": "704-553-5392",
            "fax_number": "980-333-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "KERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD, CADC-R, CPSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CADC-28341",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teisha Shiozaki, MD
• Travis Nathan Shipe, NP
• Ashley Nicole Shipley, MED
• Elisa Shipley
• Alexa Almaraz Shipman, RD
• Vicki Starlene Shipman, FNP
• Jill Hensdale Shipp, LCSW
• Joelle Shipp, LPCA
• Ashot Shirazyan, PT
• Morgan Shires, OTR/L

• Addiction (Substance Use Disorder) Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.