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KENZA GRACE HADDOCK
NPI 1629610407
Counselor in Surfside Beach, SC

Active since October 12, 2019PECOS EnrolledAccepts Medicare Assignment
1500 HIGHWAY 17 N STE 201H, SURFSIDE BEACH, SC 29575(843) 284-7147 Get Directions Write a Review

NPPES record last updated: October 12, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kenza Grace Haddock NPPES

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

KENZA GRACE HADDOCK (NPI 1629610407) is an individual counselor in Surfside Beach, South Carolina, licensed in South Carolina (6800) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629610407
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKENZA GRACE HADDOCK
Location Address1500 HIGHWAY 17 N STE 201HSurfside Beach, SC 29575-6078
Mailing AddressPo Box 31537Myrtle Beach, SC 29588-0026 · (843) 284-7147
Phone(843) 284-7147
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 12, 2019
✔ NPI 1629610407 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 SC · 6800
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.
1500 HIGHWAY 17 N STE 201H, Surfside Beach, SC 29575
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, UnitedHealthcare.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

Kenza Grace Haddock 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 ID7416433016
PECOS Enrollment IDI20260116001265
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 Reassignment

Medicare enrollment records show Kenza Haddock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oceanic Counseling Group LLC
9.6 mi
Mental Health
215 RONNIE CT STE C
Myrtle Beach, SC 29579
  • Reassigned Medicare billing, South Carolina enrollment
  • 56 clinicians in this Medicare group
NPI 1922631522 (843) 894-0000

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

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 Kenza Haddock's NPI number?

The NPI number for Kenza Haddock is 1629610407. It was assigned to this individual provider in the NPPES registry on October 12, 2019.

Where is Kenza Haddock located?

Kenza Haddock practices at 1500 Highway 17 N Ste 201H, Surfside Beach, SC 29575. The listed phone number is (843) 284-7147.

What is Kenza Haddock's specialty?

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

Is Kenza Haddock enrolled in Medicare?

Yes. Kenza Haddock 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 organization bills Medicare for Kenza Haddock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenza Haddock reassigns Medicare benefits to Oceanic Counseling Group LLC (Myrtle Beach, SC). The 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 Kenza Haddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenza Haddock accept?

Health plans from First Choice Next and UnitedHealthcare list Kenza Haddock 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 Kenza Haddock was last updated on October 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.