Individual provider Active NPI

Kimberly Bogert, LCMHCA

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1457224362
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A22086 Issued in NC
Practice address
230 Orange St
Charlotte, NC 28205-7552
Phone
(704) 491-1446
NPI assigned
Sep 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A22086 NC Primary

Addresses

Primary practice location

230 Orange St
Charlotte, NC 28205-7552

Mailing address

230 Orange St
Charlotte, NC 28205-7552
Phone (704) 491-1446

Other practice location 1

447 S Sharon Amity Rd Ste 250
Charlotte, NC 28211-2850
Phone (704) 264-2973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A22086NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1457224362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 ORANGE ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057552",
            "telephone_number": "704-491-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ORANGE ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057552",
            "telephone_number": "704-491-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 S Sharon Amity Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282112850",
            "country_code": "US",
            "telephone_number": "704-264-2973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGERT",
        "first_name": "KIMBERLY",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A22086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.