Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. KERRY LYNN SHIPMAN PHD, CADC-R, CPSS
NPI 1134033152
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Q: What is Kerry Shipman's NPI number?

The NPI number for Kerry Shipman is 1134033152. It was assigned to this individual provider in the NPPES registry on September 29, 2026.

Q: What is Kerry Shipman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kerry Shipman was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 29, 2026

6636 E W T HARRIS BLVD STE E, CHARLOTTE, NC 28215(704) 553-5392(980) 333-4063 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Kerry Lynn Shipman Phd, Cadc-r, Cpss NPPES

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

DR. KERRY LYNN SHIPMAN PHD, CADC-R, CPSS (NPI 1134033152) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (CADC-28341) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1134033152

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameDR. KERRY LYNN SHIPMANCredential: PHD, CADC-R, CPSS

Location Address6636 E W T HARRIS BLVD STE ECharlotte, NC 28215-5125

Mailing Address6636 E W T Harris Blvd Ste ECharlotte, NC 28215-5125 · (704) 553-5392 · Fax (980) 333-4063

Phone(704) 553-5392

Fax(980) 333-4063

Sole ProprietorYes

Enumeration DateSeptember 29, 2026

NPPES CertifiedSeptember 29, 2026

✔ NPI 1134033152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NC · CADC-28341

Also ListedPeer SpecialistTaxonomy 175T00000X

6636 E W T HARRIS BLVD STE E, Charlotte, NC 28215

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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 Kerry Shipman's NPI number?

The NPI number for Kerry Shipman is 1134033152. It was assigned to this individual provider in the NPPES registry on September 29, 2026.

Where is Kerry Shipman located?

Kerry Shipman practices at 6636 E W T Harris Blvd Ste E, Charlotte, NC 28215. The listed phone number is (704) 553-5392.

What is Kerry Shipman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kerry Shipman was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.