Active NPI
Kaydium Therapy Services LLC
- Mental Health Counselor
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Acupuncturist | 171100000X | |||
| Peer Specialist | 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 DirectoryLocations
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.
-
- Peer Specialist
- Charlotte, NC
- NPI 1255131314
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1407263593
Addiction (Substance Use Disorder)
-
- Peer Specialist
- Charlotte, NC
- NPI 1518847250
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1801603311
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.