Active NPI
Kimberly Logan Hamrick, M.ED., LPC
- Counselor
- Charlotte, NC
National Provider Identifier
1457592578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6875
- Practice address
- 3719 Latrobe Dr
Suite 830
Charlotte, NC 28211-4861 - Phone
- (704) 473-1164
- NPI assigned
- Mar 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6875 | NC | Primary |
Addresses
Primary practice location
3719 Latrobe Dr
Suite 830
Charlotte, NC 28211-4861
Mailing address
7300 Quail Meadow LN
Charlotte, NC 28210-5125
Phone (704) 473-1164
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6875 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1457592578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 QUAIL MEADOW LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282105125",
"telephone_number": "704-473-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3719 LATROBE DR",
"address_2": "SUITE 830",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114861",
"telephone_number": "704-473-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMRICK",
"first_name": "KIMBERLY",
"middle_name": "LOGAN",
"credential": "M.ED., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-19",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "6875",
"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 Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.