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DERRA KENNEDY
NPI 1649677584
Counselor - Mental Health in Lexington, SC

Active since November 20, 2014
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072(803) 996-1500 Get Directions Write a Review

NPPES record last updated: November 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derra Kennedy NPPES

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

DERRA KENNEDY (NPI 1649677584) is an individual mental health provider in Lexington, South Carolina and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1649677584
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDERRA KENNEDY
Location Address301 PALMETTO PARK BLVDLexington, SC 29072-7872
Mailing Address301 Palmetto Park BlvdLexington, SC 29072-7872 · (803) 996-1500
Phone(803) 996-1500
Sole ProprietorYes
Enumeration DateNovember 20, 2014
✔ NPI 1649677584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
301 PALMETTO PARK BLVD, Lexington, SC 29072
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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.

HUGH A. HENDERSON CAC, CPE, MDN
Counselor (Mental Health)
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 996-1500
MS. FREDDIE KAREN BUSHA LPC/S
Counselor (Professional)
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 996-1500
MICHELLE LYNNE EICHELBERGER MSW
Counselor (Mental Health)
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 996-1500
AMY N. MILLS MSW, LMSW
Counselor (Mental Health)
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 996-1500
MR. ADRIAN CLARKE CPSS
Counselor
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 996-1500
LAURA REGINA FULTON LPC
Counselor (Mental Health)
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 996-1500
AMY LYNN WESSINGER MA
Counselor (Mental Health)
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 359-7206
KRISTI L. DOLLOFF BSW
Counselor (Mental Health)
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 996-1500

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 Derra Kennedy's NPI number?

The NPI number for Derra Kennedy is 1649677584. It was assigned to this individual provider in the NPPES registry on November 20, 2014.

Where is Derra Kennedy located?

Derra Kennedy practices at 301 Palmetto Park Blvd, Lexington, SC 29072. The listed phone number is (803) 996-1500.

What is Derra Kennedy's specialty?

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

When was this NPI record last updated?

The NPPES record for Derra Kennedy was last updated on November 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.