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DESTINY RACHELLE KENNEDY
NPI 1497506455
Counselor in Wagoner, OK

Active since March 28, 2024
109 S HARRILL AVE, WAGONER, OK 74467(918) 485-0242(918) 485-0204 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2026, Jul 11, 2025 (2 updates tracked since 2025).

About Destiny Rachelle Kennedy NPPES

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

DESTINY RACHELLE KENNEDY (NPI 1497506455) is an individual counselor in Wagoner, Oklahoma, licensed in Oklahoma (LPCCANDIDATE13229) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1497506455
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDESTINY RACHELLE KENNEDY
Location Address109 S HARRILL AVEWagoner, OK 74467-5317
Mailing Address109 S Harrill AveWagoner, OK 74467-5317 · (918) 485-0242 · Fax (918) 485-0204
Phone(918) 485-0242
Fax(918) 485-0204
Sole ProprietorYes
Enumeration DateMarch 28, 2024
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1497506455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OK · LPCCANDIDATE13229
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
109 S HARRILL AVE, Wagoner, OK 74467
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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.

DAYNA APPLEGATE
Case Manager/Care Coordinator
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
MADISON M MEDLOCK
Counselor
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
GARRETTE LEE MCCLURE M.S.
Counselor (Mental Health)
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
LORI KIM CHILDS LMSW-P
Social Worker (Clinical)
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
TAREK SLEEM
Clinic/Center (Mental Health (Including Community Mental Health Center))
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
CRUZ RONDON
Peer Specialist
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
CREOKS MENTAL HEALTH SERVICES
Peer Specialist
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 382-7300
CLARESSA ARMER
Case Manager/Care Coordinator
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242

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 Destiny Kennedy's NPI number?

The NPI number for Destiny Kennedy is 1497506455. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Destiny Kennedy located?

Destiny Kennedy practices at 109 S Harrill Ave, Wagoner, OK 74467. The listed phone number is (918) 485-0242.

What is Destiny Kennedy's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Destiny Kennedy was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.