MR. BLAKE HAMILTON CLEMMONS LPCA
NPI 1427417641
Counselor - Professional in Charlotte, NC

Active since February 16, 2016Opted out of Medicare · through Mar 22, 2028
2124 CROWN CENTRE DR, SUITE 400, CHARLOTTE, NC 28227(704) 849-0144 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Blake Hamilton Clemmons Lpca NPPES

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

MR. BLAKE HAMILTON CLEMMONS LPCA (NPI 1427417641) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (A12043) and active in the NPI registry since February 2016. He has opted out of Medicare through March 22, 2028.

NPPES Registry Identity

NPI1427417641
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BLAKE HAMILTON CLEMMONSCredential: LPCA
Location Address2124 CROWN CENTRE DR, SUITE 400Charlotte, NC 28227-7803
Mailing Address2124 Crown Centre Dr, Suite 400Charlotte, NC 28227-7803 · (704) 849-0144
Sole ProprietorNo
Enumeration DateFebruary 16, 2016
NPI 1427417641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · A12043
2124 CROWN CENTRE DR, Charlotte, NC 28227

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Blake Hamilton Clemmons Lpca has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 22, 2024 through March 22, 2028.

Opt-Out Effective DateMarch 22, 2024
Opt-Out In Effect ThroughMarch 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

Counselor (Professional)
2124 CROWN CENTRE DR, SUITE 400
CHARLOTTE, NC 28227
Counselor (Professional)
2124 CROWN CENTRE DR, SUITE 400
CHARLOTTE, NC 28227
Counselor (Mental Health)
2124 CROWN CENTRE DR
CHARLOTTE, NC 28227
Counselor (Professional)
2124 CROWN CENTRE DR, SUITE 400
CHARLOTTE, NC 28227
Counselor (Professional)
2124 CROWN CENTRE DR
CHARLOTTE, NC 28227
Counselor (Professional)
2124 CROWN CENTRE DR, SUITE 400
CHARLOTTE, NC 28227
Counselor (Professional)
2124 CROWN CENTRE DR, SUITE 400
CHARLOTTE, NC 28227
Counselor (Mental Health)
2124 CROWN CENTRE DR, SUITE 400
CHARLOTTE, NC 28227

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 Blake Clemmons's NPI number?

The NPI number for Blake Clemmons is 1427417641. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Where is Blake Clemmons located?

Blake Clemmons practices at 2124 Crown Centre Dr Suite 400, Charlotte, NC 28227. The listed phone number is (704) 849-0144.

What is Blake Clemmons's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Blake Clemmons enrolled in Medicare?

No. Blake Clemmons has opted out of Medicare through March 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Blake Clemmons accept?

Health plans from Blue Cross and Blue Shield of NC list Blake Clemmons 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 Blake Clemmons was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.