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KIMBERLY LYNN CLICQUENNOI LCMHC
NPI 1457515157
Counselor - Mental Health in Roxboro, NC

Active since July 11, 2008
355 S MADISON BLVD, SUITE C2, ROXBORO, NC 27573(336) 597-2065(336) 597-2116 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Lynn Clicquennoi Lcmhc NPPES

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

KIMBERLY LYNN CLICQUENNOI LCMHC (NPI 1457515157) is an individual mental health provider in Roxboro, North Carolina, licensed in North Carolina (7108) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1457515157
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY LYNN CLICQUENNOICredential: LCMHC
Location Address355 S MADISON BLVD, SUITE C2Roxboro, NC 27573-5485
Mailing Address3210 Fairhill DrRaleigh, NC 27612-3215 · (919) 256-0824 · Fax (919) 256-0833
Phone(336) 597-2065
Fax(336) 597-2116
Sole ProprietorYes
Enumeration DateJuly 11, 2008
Last NPPES UpdateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
✔ NPI 1457515157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 7108
355 S MADISON BLVD, Roxboro, NC 27573
Open in Google Maps ↗

Other Names 1

Former Name (1)Kim Synan

Other Providers at the Same Location NPPES 18

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

FREEDOM HOUSE RECOVERY CENTER, INC.
Community/Behavioral Health
355 S MADISON BLVD, STE C1
ROXBORO, NC 27573
Person County (336) 599-8366
TRIUMPH, LLC
Counselor (Professional)
355 S MADISON BLVD, SUITE C2
ROXBORO, NC 27573
Person County (336) 597-2065
TRIUMPH LLC
Psychiatry & Neurology (Psychiatry)
355 S MADISON BLVD, STE. C2
ROXBORO, NC 27573
Person County (336) 597-2065
MRS. AMANDA BLOOM M.ED., NCC, LPC
Counselor (Professional)
355 S MADISON BLVD, SUITE C1
ROXBORO, NC 27573
Person County (336) 599-8366
MRS. WINSTONA DAISY COLE
Counselor (Mental Health)
355 S MADISON BLVD
ROXBORO, NC 27573
Person County (336) 599-8366
KEVIN T ASHE CSAC
Counselor (Addiction (Substance Use Disorder))
355 S MADISON BLVD
ROXBORO, NC 27573
Person County (336) 599-8366
PRESTON WHITLOW LCMHCA, LCAS
Counselor (Addiction (Substance Use Disorder))
355 S MADISON BLVD
ROXBORO, NC 27573
Person County (434) 429-7605
COUNTY OF PERSON, OFFICE OF COUNTY FINANCE
Clinic/Center (Public Health, State or Local)
355 S MADISON BLVD, STE A
ROXBORO, NC 27573
Person County (336) 597-2204

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 Kimberly Clicquennoi's NPI number?

The NPI number for Kimberly Clicquennoi is 1457515157. It was assigned to this individual provider in the NPPES registry on July 11, 2008. The provider is also known as Kim Synan.

Where is Kimberly Clicquennoi located?

Kimberly Clicquennoi practices at 355 S Madison Blvd Suite C2, Roxboro, NC 27573. The listed phone number is (336) 597-2065.

What is Kimberly Clicquennoi's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kimberly Clicquennoi was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.