Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khadeesha Jacke Riddick, MS

Individual provider Mental Health Counselor · NPI 1336942036

Khadeesha Jacke Riddick, MS is a Mental Health Counselor in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

2418 S Holden Rd Apt D
Greensboro, NC 27407-5730
Phone: (334) 413-3447
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (NC)

Record details

NPI number1336942036
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedMarch 28, 2025
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

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