Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenetra Devonne Dandridge, LCMHC, LCAS, CCS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407263593

Kenetra Devonne Dandridge, LCMHC, LCAS, CCS is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 2013, 13 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

1900 Randolph Rd Ste 800
Charlotte, NC 28207-1110
Phone: (704) 384-1246
Fax: (704) 384-6072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3301 Tennessee Ave, Charlotte, NC 28216-4077 — (704) 900-1850

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 15759 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 20215 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1407263593
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC , LCAS , CCS
Sole proprietorNo
NPI enumeratedJuly 21, 2014
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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