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

Miss. Shannon Dervay, LPC, NCC, CACI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518254416

Miss. Shannon Dervay, LPC, NCC, CACI is an Addiction (Substance Use Disorder) Counselor in Chester, South Carolina. Licensed in North Carolina and South Carolina. Registered with an NPI since 2011.

Licensed in
NC, SC
In the registry since
2011
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

130 Hudson St
Chester, SC 29706-1524
Phone: (803) 377-8111
Fax: (803) 581-5380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5145 (SC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1105055 (SC)
Professional Counselor Taxonomy 101YP2500X · Licence 8163 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 56127 (NC)

Record details

NPI number1518254416
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , NCC , CACI
Sole proprietorNo
NPI enumeratedJune 30, 2011
Last updated in NPPESJune 30, 2011

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