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KIMBERLEY KOONTZ PMHNP
NPI 1114560794
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since October 25, 2019
3303 LATROBE DR, CHARLOTTE, NC 28211(704) 362-2663 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 29, 2019, Oct 25, 2019 (2 updates tracked since 2019).

About Kimberley Koontz Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLEY KOONTZ PMHNP (NPI 1114560794) is an individual psychiatric/mental health provider in Charlotte, North Carolina, licensed in North Carolina (5012464) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1114560794
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLEY KOONTZCredential: PMHNP
Location Address3303 LATROBE DRCharlotte, NC 28211-4851
Mailing Address8604 Royster RunWaxhaw, NC 28173-7831 · (609) 558-3888
Phone(704) 362-2663
Sole ProprietorNo
Enumeration DateOctober 25, 2019
Last NPPES UpdateOctober 29, 20192 updates tracked since enumeration
✔ NPI 1114560794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5012464
3303 LATROBE DR, Charlotte, NC 28211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSS MACRAE MASTERS MD
Psychiatry & Neurology (Psychiatry)
3303 LATROBE DR
CHARLOTTE, NC 28211
Mecklenburg County (704) 945-2207
DAVID K MASSEY LCSW
Social Worker (Clinical)
3303 LATROBE DR
CHARLOTTE, NC 28211
Mecklenburg County (704) 362-2663
SUSAN HUNT LCSW
Social Worker (Clinical)
3303 LATROBE DR
CHARLOTTE, NC 28211
Mecklenburg County (704) 362-2663
DR. MARCUS PELUCIO M.D.
Psychiatry & Neurology (Neurology)
3303 LATROBE DR
CHARLOTTE, NC 28211
Mecklenburg County (704) 362-2663
BAIBA P PUKJANIS-GRASMAN LCSW
Social Worker (Clinical)
3303 LATROBE DR
CHARLOTTE, NC 28211
Mecklenburg County (704) 362-2663
LESLIE CHANDLER PERRY PMHNP BC
Nurse Practitioner (Psychiatric/Mental Health)
3303 LATROBE DR
CHARLOTTE, NC 28211
Mecklenburg County (704) 362-2663
MICHAEL NIEWIADOMSKI PH.D.
Psychologist (Clinical)
3303 LATROBE DR
CHARLOTTE, NC 28211
Mecklenburg County (704) 362-2663
DR. JOHN EDWARD HUMPHREY MD
Psychiatry & Neurology (Psychiatry)
3303 LATROBE DR
CHARLOTTE, NC 28211
Mecklenburg County (704) 362-2663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberley Koontz's NPI number?

The NPI number for Kimberley Koontz is 1114560794. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Where is Kimberley Koontz located?

Kimberley Koontz practices at 3303 Latrobe Dr, Charlotte, NC 28211. The listed phone number is (704) 362-2663.

What is Kimberley Koontz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Kimberley Koontz accept?

Health plans from Blue Cross and Blue Shield of NC list Kimberley Koontz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberley Koontz was last updated on October 29, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.