Organization Active NPI

Kegley Counseling, LLC

  • Professional Counselor
  • Boca Raton, FL
National Provider Identifier
1003358763
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KEGLEY COUNSELING, LLC
Practice address
3200 N Federal Hwy Ste 206-7
Boca Raton, FL 33431-6057
Phone
(404) 496-8849
Fax
(404) 591-7909
NPI assigned
Nov 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Michelle Kegley, LMHC, LPCNPI 1609216142
Title
Owner
Phone
(404) 496-8849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3200 N Federal Hwy Ste 206-7
Boca Raton, FL 33431-6057

Mailing address

3200 N Federal Hwy Ste 206-7
Boca Raton, FL 33431-6057
Phone (404) 496-8849

Other identifiers 1

IdentifierTypeStateIssuer
1003358763OtherNPPES

National Provider Directory

National Provider Directory

Locations

2900 Chamblee Tucker Rd
Bldg 10
Atlanta, GA 30341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1003358763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N FEDERAL HWY STE 206-7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316057",
            "telephone_number": "404-496-8849",
            "fax_number": "404-591-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N FEDERAL HWY STE 206-7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316057",
            "telephone_number": "404-496-8849",
            "fax_number": "404-591-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEGLEY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-12",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "KEGLEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-496-8849",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1003358763",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.