KIMBERLY LYNN CLICQUENNOI LCMHC
NPI 1457515157
Counselor - Mental Health in Roxboro, NC
NPI Status: Active since July 11, 2008
Contact Information
355 S MADISON BLVD
SUITE C2
ROXBORO, NC
ZIP 27573
Phone: (336) 597-2065
Fax: (336) 597-2116
- Individual
- Female
- Counselor
- Mental Health
About KIMBERLY CLICQUENNOI
This page provides the complete NPI Profile along with additional information for Kimberly Clicquennoi, a provider established in Roxboro, North Carolina with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1457515157 assigned on July 2008. The practitioner's primary taxonomy code is 101YM0800X with license number 7108 (NC). The provider is registered as an individual and her NPI record was last updated December 2025.
- NPI
- 1457515157
- Provider Name
- KIMBERLY LYNN CLICQUENNOI LCMHC
- Other Name
- KIM SYNAN
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 355 S MADISON BLVD SUITE C2 ROXBORO, NC 27573
- Location Phone
- (336) 597-2065
- Location Fax
- (336) 597-2116
- Mailing Address
- 3210 FAIRHILL DR RALEIGH, NC 27612
- Mailing Phone
- (919) 256-0824
- Mailing Fax
- (336) 597-2116
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-11-2008
- Last Update Date
- 12-30-2025
- Code Navigator
A mental health counselor like Kimberly Clicquennoi provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 7108
- License State
- NC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1457515157, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 43 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
ROXBORO, NC 27573
ROXBORO, NC 27573
ROXBORO, NC 27573
ROXBORO, NC 27573
ROXBORO, NC 27573
ROXBORO, NC 27573
ROXBORO, NC 27573
ROXBORO, NC 27573
ROXBORO, NC 27573
ROXBORO, NC 27573
ROXBORO, NC 27573
ROXBORO, NC 27573
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457515157, enumerated as an "individual" on July 11, 2008.
The provider is located at 355 S MADISON BLVD SUITE C2 ROXBORO, NC 27573 and the phone number is (336) 597-2065.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
