Active NPI
Hollie Easterling Kimbrough, LCASA
- Addiction (Substance Use Disorder) Counselor
- Concord, NC
National Provider Identifier
1477311025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 29742
- Practice address
- 219 Le Phillip CT NE
Concord, NC 28025-2900 - Phone
- (336) 267-8836
- NPI assigned
- Mar 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 29742 | NC | Primary |
| Mental Health Counselor | 101YM0800X | A22202 | NC |
Addresses
Primary practice location
219 Le Phillip CT NE
Concord, NC 28025-2900
Mailing address
219 Le Phillip CT NE
Concord, NC 28025-2900
Phone (336) 267-8836
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
| License | State | Type | Specialty |
|---|---|---|---|
| A22202 | NC | MD | Mental Health Counselor |
| 29742 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anuvia Prevention and Recovery Center, Inc | Past | Accepting new patients | |
| Anuvia Prevention & Recovery, Center, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1093756819
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1154706307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1477311025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 LE PHILLIP CT NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252900",
"telephone_number": "336-267-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 LE PHILLIP CT NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252900",
"telephone_number": "336-267-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBROUGH",
"first_name": "HOLLIE",
"middle_name": "EASTERLING",
"credential": "LCASA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-08",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "29742",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A22202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.