MRS. KRISTINA NICHOLE TAYLOR CLEMMONS LCMHC, LCAS
NPI 1467743930
Counselor - Professional in Shallotte, NC

Active since May 02, 2011
120 COASTAL HORIZONS DR, SHALLOTTE, NC 28470(910) 754-4515 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 17, 2023, Mar 16, 2016 (2 updates tracked since 2016).

About Mrs. Kristina Nichole Taylor Clemmons Lcmhc, Lcas NPPES

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

MRS. KRISTINA NICHOLE TAYLOR CLEMMONS LCMHC, LCAS (NPI 1467743930) is an individual professional provider in Shallotte, North Carolina, licensed in North Carolina (8665) and active in the NPI registry since May 2011. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467743930
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KRISTINA NICHOLE TAYLOR CLEMMONSCredential: LCMHC, LCAS
Location Address120 COASTAL HORIZONS DRShallotte, NC 28470-6094
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145
Sole ProprietorYes
Enumeration DateMay 2, 2011
Last NPPES UpdateJanuary 17, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
NPI 1467743930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 8665
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 3394 (NC)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A8665 (NC), 8665 (NC)
120 COASTAL HORIZONS DR, Shallotte, NC 28470

Secondary Practice Locations 2

Location 14036 Bus 17 East Bldg 600Bolivia, NC 28422-2842 · Phone (910) 703-8800
Location 26 Doctors Cir Ste 1Supply, NC 28462-6358 · Phone (910) 754-4233

Accepted 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.

Counselor
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Counselor
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Community/Behavioral Health
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Counselor (Addiction (Substance Use Disorder))
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470

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 Kristina Taylor Clemmons's NPI number?

The NPI number for Kristina Taylor Clemmons is 1467743930. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Where is Kristina Taylor Clemmons located?

Kristina Taylor Clemmons practices at 120 Coastal Horizons Dr, Shallotte, NC 28470. The listed phone number is (910) 754-4515.

What is Kristina Taylor Clemmons's specialty?

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

What insurance does Kristina Taylor Clemmons accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Kristina Taylor 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 Kristina Taylor Clemmons was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.