Organization Active NPI

Kaydium Therapy Services LLC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1659959054
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KAYDIUM THERAPY SERVICES LLC
Practice address
740 W 5TH St
Charlotte, NC 28202-1408
Phone
(704) 228-3747
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
K Devonne Dandridge
Title
Owner
Phone
(704) 900-1850

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

740 W 5TH St
Charlotte, NC 28202-1408

Mailing address

3301 Tennessee Ave
Charlotte, NC 28216-4077

Other practice location 1

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

Other practice location 2

1012 Allen St
Charlotte, NC 28205-2750
Phone (704) 900-1850

National Provider Directory

National Provider Directory

Locations

2315 E Wt Harris Blvd
Ste 102
Charlotte, NC 28213
Phone (704) 208-4458

740 W 5th St
Charlotte, NC 28202
Phone (704) 412-2039

3301 Tennessee Ave
Charlotte, NC 28216
Phone (646) 975-1511

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1659959054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 TENNESSEE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W 5TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021408",
            "telephone_number": "704-228-3747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Tennessee Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282164077",
            "country_code": "US",
            "telephone_number": "704-900-1850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 Allen St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282052750",
            "country_code": "US",
            "telephone_number": "704-900-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAYDIUM THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "DANDRIDGE",
        "authorized_official_first_name": "K DEVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-900-1850"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.