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KELLY DENISE HERNDON PEER SUPPORT
NPI 1710828710
Peer Specialist in Elm City, NC

Active since April 03, 2026
4246 WESTERLY CT, ELM CITY, NC 27822(252) 343-5246(252) 343-5246 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Denise Herndon Peer Support NPPES

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

KELLY DENISE HERNDON PEER SUPPORT (NPI 1710828710) is an individual peer specialist in Elm City, North Carolina and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1710828710
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELLY DENISE HERNDONCredential: PEER SUPPORT
Location Address4246 WESTERLY CTElm City, NC 27822-8789
Mailing Address400 Seven Hills Annex Rd W Ste 200Wilson, NC 27893-3688 · (252) 343-5246 · Fax (252) 343-5246
Phone(252) 343-5246
Fax(252) 343-5246
Sole ProprietorNo
Enumeration DateApril 3, 2026
NPPES CertifiedApril 3, 2026
✔ NPI 1710828710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
4246 WESTERLY CT, Elm City, NC 27822
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Other Providers at the Same Location NPPES 2

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

WINGS OF A BUTTERFLY PSYCHOSOCIAL REHAB CENTER
Community/Behavioral Health
4246 WESTERLY CT
ELM CITY, NC 27822
Wilson County (252) 343-5246
WINGS OF A BUTTERFLY, LLC
Community/Behavioral Health
4246 WESTERLY CT
ELM CITY, NC 27822
Wilson County (252) 343-5246

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 Kelly Herndon's NPI number?

The NPI number for Kelly Herndon is 1710828710. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Kelly Herndon located?

Kelly Herndon practices at 4246 Westerly Ct, Elm City, NC 27822. The listed phone number is (252) 343-5246.

What is Kelly Herndon's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kelly Herndon was last updated on April 3, 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.