Individual provider Active NPI

Alyssa McKeeman, NCC, LAPC, LPCA

  • Mental Health Counselor
  • Clemson, SC
National Provider Identifier
1013474253
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6963 Issued in SC
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

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
APC005600GAMDMental Health Counselor
6963SCMDMental 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.

Verify at the official NPI Registry.