KENDRA ELISE O'BERRY LISW
NPI 1184187353
Social Worker - Clinical in North Augusta, SC

Active since April 12, 2019PECOS EnrolledAccepts Medicare Assignment
534 DOVE ST, NORTH AUGUSTA, SC 29841(404) 759-5467 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 21, 2022, Apr 12, 2019 (2 updates tracked since 2019).

About Kendra Elise O'berry Lisw NPPES

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

KENDRA ELISE O'BERRY LISW (NPI 1184187353) is an individual clinical provider in North Augusta, South Carolina, licensed in Georgia (CSW007182) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184187353
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENDRA ELISE O'BERRYCredential: LISW
Location Address534 DOVE STNorth Augusta, SC 29841-2982
Mailing Address534 Dove StNorth Augusta, SC 29841-2982 · (404) 759-5467
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 12, 2019
Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1184187353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW007182
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
534 DOVE ST, North Augusta, SC 29841

Other Identifiers 1

Other12108SC · Sc Licensure

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kendra Elise O'berry Lisw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416325089
PECOS Enrollment IDI20221201003238, I20230324000879
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kendra O'berry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
534 DOVE ST
North Augusta, SC 29841
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
Mental Health
5513 MONROE RD STE 205
Charlotte, NC 28212
  • Reassigned Medicare billing, South Carolina enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29841 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
534 DOVE ST
NORTH AUGUSTA, SC 29841

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 Kendra O'berry's NPI number?

The NPI number for Kendra O'berry is 1184187353. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Kendra O'berry located?

Kendra O'berry practices at 534 Dove St, North Augusta, SC 29841. The listed phone number is (404) 759-5467.

What is Kendra O'berry's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kendra O'berry enrolled in Medicare?

Yes. Kendra O'berry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kendra O'berry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra O'berry reassigns Medicare benefits to 2 organizations: People United Counseling & Consulting (North Augusta, SC) and Notary & Things, LLC (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kendra O'berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra O'berry accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Kendra O'berry 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 Kendra O'berry was last updated on December 21, 2022. 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.