Active NPI
Carla McKenney
- Mental Health Counselor
- Timmonsville, SC
National Provider Identifier
1821544636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6957
- Practice address
- 3824 Oliver Rd
Timmonsville, SC 29161-9381 - Phone
- (843) 664-3944
- NPI assigned
- Aug 31, 2016
- Last updated
- Nov 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1908207 | SC | |
| Mental Health Counselor | 101YM0800X | 6957 | SC | Primary |
Addresses
Primary practice location
3824 Oliver Rd
Timmonsville, SC 29161-9381
Mailing address
3824 Oliver Rd
Timmonsville, SC 29161-9381
Phone (843) 319-6892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1908207 | SC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1821544636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3824 OLIVER RD",
"city": "TIMMONSVILLE",
"state": "SC",
"postal_code": "291619381",
"telephone_number": "843-319-6892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3824 OLIVER RD",
"city": "TIMMONSVILLE",
"state": "SC",
"postal_code": "291619381",
"telephone_number": "843-664-3944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNEY",
"first_name": "CARLA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "1908207",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "6957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Timmonsville, SC
- Jacqueline Elizabeth Lane, M.S.
- Regina Durant Lester
- Live, Love & Language Speech Therapy Services
- Clarice Regina Mace
- Vanity McCray Timmons
- Katrina McKenzie, COTA
- McLeod Health Clarendon (McLeod Family Medicine-Timmonsville)
- McLeod Physician Associates II (McLeod Family Practice - Timmonsville)
- McLeod Physician Associates, Inc. (McLeod Family Practice - Timmonsville)
- Marteshia McPhail
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.