Individual provider Active NPI

Kendra Talley

  • Mental Health Counselor
  • Greenville, SC
National Provider Identifier
1386366870
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12464 Issued in SC
Practice address
3 McHan St
Greenville, SC 29605-3877
Phone
(850) 544-5813
NPI assigned
Sep 13, 2022
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12464 SC Primary
Mental Health Counselor 101YM0800X MH22053 FL

Addresses

Primary practice location

3 McHan St
Greenville, SC 29605-3877

Mailing address

3 McHan St
Greenville, SC 29605-3877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251009003442 FL Practitioner - Mental Health Counselor 0446757942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 NW 183Rd St
Suite 404
Miami, FL 33169-4619

2474 Rumba CT
Apt 3
Tallahassee, FL 32304-1519

2474 Rumba CT
Apt 3
Tallahassee, FL 32304-1521

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cerebrum Innovations LLC CurrentSince Nov 3, 2025 Accepting new patients
Inspire4Purpose, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

111 NW 183rd St
Ste 404
Miami Gardens, FL 33169
Phone (757) 524-4001

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1386366870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MCHAN ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296053877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MCHAN ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296053877",
            "telephone_number": "850-544-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "KENDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "12464",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.