Kendra Beth Corning, PSYD
Individual provider Active NPI Clinical Psychologist · Butner, NC
NPI 1922594399 · NPPES record last updated Aug 11, 2025
Key facts
- NPI
- 1922594399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 5354 (NC)
- Practice address
- 300 Veazey Dr
Butner, NC 27509-1668 - Phone
- (919) 764-5364
- NPI assigned
- Jul 9, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
122 Gateway Blvd
Suite C
Mooresville, NC 28117-5543
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250908000614 | NC | Practitioner - Clinical Psychologist | 2769984897 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5354 | NC | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5354 | NC | Yes |
| Psychologist | 103T00000X | 5354 | NC |
Addresses
Primary practice location
300 Veazey Dr
Butner, NC 27509-1668
Mailing address
300 Veazey Dr
Butner, NC 27509-1668
Phone (919) 764-5364
Other practice location 1
2300 Rexwoods Dr Ste 140
Raleigh, NC 27607-3361
Phone (704) 360-3637
Other providers in Butner, NC
- Laura M. Clark
- Elizabeth Cody
- Sara S.B. Collins
- Heather G Copley
- Susan Cornett
- Sarah Elisabeth Couch
- Emily Carter Cox
- Cheryl Lynn Crawford
- Jesse Brooke Creech
- Stephanie Noel Cripps
All providers in Butner, NC · Clinical Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.