Shannon Dervay, LPC, NCC, CACI
Professional Counselor · Chester, SC
Shannon Dervay, LPC, NCC, CACI is a professional counselor with a practice address in Chester, South Carolina, and NPI 1518254416, issued on Jun 30, 2011. Check the license (South Carolina 5145, as entered in NPPES) with the South Carolina board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Shannon Dervay
- Credential
- LPC, NCC, CACI
- Primary taxonomy
- Professional Counselor 101YP2500X
- License numbers
- 5145 SC
1105055 SC
56127 NC
8163 NC
Self-reported in NPPES; status is on the state search - Practice location
- 130 Hudson St, Chester, SC 29706
- Phone
- (803) 377-8111
- Enumerated
- Jun 30, 2011
- Record last updated
- Jun 30, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (803) 581-5380
- Entity
- Type 1 · individual
Also registered at 130 Hudson St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Maria Bates, CACII, NCACIIAddiction (Substance Use Disorder) Counselor1386931285
- Jennifer Campbell, BSW, CACICounselor1730476706
- Jacqueline CarsonAddiction (Substance Use Disorder) Counselor1417796145
- Sallie DarbyAddiction (Substance Use Disorder) Counselor1669269213
- Kristin Gibson, CACII, MAC, LPC, LACAddiction (Substance Use Disorder) Counselor1679814388
- Napoleon GregoryPeer Specialist1588272777
Verify Shannon Dervay in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
Search for license 5145Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
5 professional counselor records list a practice address in Chester
They are 5 of the 118 NPPES records with a practice address in Chester, and 2,577 professional counselor records in South Carolina. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 5 in Chester → All 2,577 in South Carolina → Every provider in Chester →
Other professional counselor records in South Carolina
- Brandon Aaron, LPCGraniteville, SC1285363051
- Mikala Adair, LPC, NCCAnderson, SC1417636739
- Derald Adams, ED.SAiken, SC1922647213
- Erica Adams, LPCEasley, SC1083167688
- Martha Adams, LISWMt Pleasant, SC1962740803
- Pinckney AdamsColumbia, SC1316476021
- Rosalyn Adams, M.ED.Ravenel, SC1669745568
- Shekina Adams, LPCCGreenville, SC1073104071
- Lauren Adcock, LPCCharleston, SC1528633203
- John Addison, LPCSeneca, SC1043589997
Common questions
What is Shannon Dervay, LPC, NCC, CACI's NPI number?
Shannon Dervay, LPC, NCC, CACI's National Provider Identifier (NPI) is 1518254416, issued on Jun 30, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Shannon Dervay, LPC, NCC, CACI located?
The NPPES record lists a practice address at 130 Hudson St, Chester, SC, 29706. Phone: (803) 377-8111. Providers update this record themselves, so call before visiting.
How can I verify Shannon Dervay, LPC, NCC, CACI's license?
NPPES lists South Carolina license number 5145, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.