Active NPI
Alyssa McKeeman, NCC, LAPC, LPCA
- Mental Health Counselor
- Clemson, SC
National Provider Identifier
1013474253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6963
- Practice address
- 209 Pendleton Rd Ste C
Clemson, SC 29631-2244 - Phone
- (470) 303-0827
- NPI assigned
- Feb 25, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC005600 | GA | |
| Mental Health Counselor | 101YM0800X | 6963 | SC | Primary |
Addresses
Primary practice location
209 Pendleton Rd Ste C
Clemson, SC 29631-2244
Mailing address
112 Clarendon Dr
Clemson, SC 29631-1909
Phone (470) 303-0827
Other practice location 1
1708 Peachtree St NW Ste 530
Atlanta, GA 30309-7039
Phone (470) 303-0827
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 |
|---|---|---|---|
| APC005600 | GA | MD | Mental Health Counselor |
| 6963 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1013474253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 CLARENDON DR",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296311909",
"telephone_number": "470-303-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 PENDLETON RD STE C",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296312244",
"telephone_number": "470-303-0827"
}
],
"practiceLocations": [
{
"address_1": "1708 Peachtree St NW Ste 530",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303097039",
"country_code": "US",
"telephone_number": "470-303-0827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKEEMAN",
"first_name": "ALYSSA",
"credential": "NCC, LAPC, LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-25",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC005600",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "6963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clemson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.