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KENETRA DEVONNE DANDRIDGE LCMHC, LCAS, CCS
NPI 1407263593
Counselor - Mental Health in Charlotte, NC

Active since July 21, 2014PECOS EnrolledAccepts Medicare Assignment
1900 RANDOLPH RD STE 800, CHARLOTTE, NC 28207(704) 384-1246(704) 384-6072 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2025, May 1, 2024, Apr 25, 2024 and 7 more (10 updates tracked since 2019).

About Kenetra Devonne Dandridge Lcmhc, Lcas, Ccs NPPES

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

KENETRA DEVONNE DANDRIDGE LCMHC, LCAS, CCS (NPI 1407263593) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (15759) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1407263593
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENETRA DEVONNE DANDRIDGECredential: LCMHC, LCAS, CCS
Location Address1900 RANDOLPH RD STE 800Charlotte, NC 28207-1110
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 384-1246
Fax(704) 384-6072
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 21, 2014
Last NPPES UpdateFebruary 18, 202510 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1407263593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 15759
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 20215 (NC)
1900 RANDOLPH RD STE 800, Charlotte, NC 28207
Open in Google Maps ↗

Other Names 1

Professional Name (2)K Devonne Moore Lcas, Lcmhc,ccs

Other Identifiers 1

Medicaid21286NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenetra Devonne Dandridge Lcmhc, Lcas, Ccs 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 ID9133662539
PECOS Enrollment IDI20240613001915
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.

Other Providers at the Same Location NPPES 16

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

SOLIM TCHEDRE NP
Nurse Practitioner
1900 RANDOLPH RD STE 800
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1246
BRITTANY HOLT COLLINS LCSW
Social Worker (Clinical)
1900 RANDOLPH RD STE 800
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1246
DR. RAJASEKHAR KANNALI M.D.
Psychiatry & Neurology (Psychiatry)
1900 RANDOLPH RD STE 800
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1246
CASSANDRA LAJEUNESSE
Social Worker (Clinical)
1900 RANDOLPH RD STE 800
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1246
TRACEY LYNNE BEATY LCMHC
Counselor (Mental Health)
1900 RANDOLPH RD STE 800
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1246
BRYAN FRANKLIN ARMSTRONG P-LCSW, P-LCAS
Social Worker (Clinical)
1900 RANDOLPH RD STE 800
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1246
STEPHEN DANIEL YOUNT
Social Worker (Clinical)
1900 RANDOLPH RD STE 800
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1246
TIFFANY NICOLE WRIGHT NP
Nurse Practitioner
1900 RANDOLPH RD STE 800
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1246

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 Kenetra Dandridge's NPI number?

The NPI number for Kenetra Dandridge is 1407263593. It was assigned to this individual provider in the NPPES registry on July 21, 2014. The provider is also known as K Devonne Moore Lcas, Lcmhc,ccs.

Where is Kenetra Dandridge located?

Kenetra Dandridge practices at 1900 Randolph Rd Ste 800, Charlotte, NC 28207. The listed phone number is (704) 384-1246.

What is Kenetra Dandridge's specialty?

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

Is Kenetra Dandridge enrolled in Medicare?

Yes. Kenetra Dandridge 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.

What insurance does Kenetra Dandridge accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and Providence Health Plan list Kenetra Dandridge 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 Kenetra Dandridge was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.