Wenndy Nicole Dupkoski, LPC-S, LPC, NCC, PH.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

#5165 Issued in NC

Practice address

114 N Church St
Lexington, SC 29072-2808

Phone

(803) 210-7422

NPI assigned

Dec 15, 2006

Reactivated

Mar 24, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Dr. Wenndy Dupkoski Mallicoat Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sacred Grove Counseling & Healing Services, LLC

  • Community/Behavioral Health Agency
  • Lexington, SC
  • NPI 1417601980
  NPD Authorized official
• Yew Belong Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Columbia, SC
  • NPI 1598464166

  Professional

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1306908306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N CHURCH ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722808",
            "telephone_number": "803-210-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N CHURCH ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722808",
            "telephone_number": "803-210-7422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Huxley Ct",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290728263",
            "country_code": "US",
            "telephone_number": "803-210-7422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPKOSKI",
        "first_name": "WENNDY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "LPC-S, LPC, NCC, PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "deactivation_date": "2022-02-06",
        "reactivation_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5165",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5178",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "5178",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "#5165",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "#5165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103176",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENNDY",
            "last_name": "MALLICOAT",
            "middle_name": "DUPKOSKI",
            "prefix": "DR.",
            "credential": "MS, LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Dukes, LMSW
• Sheila Anne Dukes, RPH
• Kayla Dumais
• Daniel H Dunbar, MD
• Regina Duncan
• Elizabeth Neyle Durant, MSW, LISW-CP
• Lydia Grace Durant
• Tjuana Faith Durden Seidl, PA-C
• Julie Rountree Durnford, OT
• Lisa Huguley Duwel

• Counselor in Lexington, SC
• Providers in Lexington, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.