Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497506455 Individual Practitioner Female Practitioner

Destiny Rachelle Kennedy

Counselor • Wagoner, OK

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Destiny Kennedy is a registered healthcare professional specializing in Counselor in Wagoner, OK. Official NPI practice address is registered at 109 S HARRILL AVE.

Practice Location & Contact Primary Location

Practice Address

109 S Harrill Ave

Wagoner, OK 744675317

Telephone 9184850242
Fax 9184850204
Associated Practice Facility / Clinic
🏢 Eagle Ridge Institute Facility NPI 1821119447

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Wagoner, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
40 Specialists

Practicing in Wagoner, OK (4611 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-31
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OK LPCCANDIDATE13229

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dayna Applegate

Case Manager/Care Coordinator

NPI 1003436387
Amber Vandusen

Case Manager/Care Coordinator

NPI 1023931409
NPI 1053699819
NPI 1053976928
Garrette Mcclure , MS

Counselor - Mental Health

NPI 1073078010

Master of Science

Lori Childs , LMSW-P

Social Worker - Clinical

NPI 1083124739

LMSWP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2026

Counselor (License #LPCCANDIDATE13229 in OK)

👤
Provider Name / Credentials Updated July 11, 2025

Recorded as DESTINY KENNEDY

NPI Profile Active March 28, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2024

Registered at 109 S HARRILL AVE, WAGONER, OK 744675317 (Tel: 9184850242)

📍
Updated Business Mailing Address March 28, 2024

Registered at 109 S HARRILL AVE, WAGONER, OK 744675317 (Tel: 9184850242)

👤
Provider Name / Credentials Updated March 28, 2024

Recorded as DESTINY WHITE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2024

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration March 28, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497506455
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2024
Last Update: March 31, 2026
Sole Proprietor: Yes

Mailing Address

109 S Harrill Ave

Wagoner, OK 744675317

Phone: 9184850242

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.