Active NPI
Keshawna Solomon, M.A.
- Psychologist
- Durham, NC
National Provider Identifier
1033481544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4237
- Practice address
- 1415 W NC Highway 54
Suite 113
Durham, NC 27707-5577 - Phone
- (919) 401-8090
- NPI assigned
- Jan 30, 2012
- Last updated
- Jan 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4237 | NC | Primary |
Addresses
Primary practice location
1415 W NC Highway 54
Suite 113
Durham, NC 27707-5577
Mailing address
1415 W NC Highway 54
Suite 113
Durham, NC 27707-5577
Phone (919) 401-8090
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4237 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Path Your Journey Healing Health, PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Durham, NC
- NPI 1659025971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1033481544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 W NC HIGHWAY 54",
"address_2": "SUITE 113",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075577",
"telephone_number": "919-401-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 W NC HIGHWAY 54",
"address_2": "SUITE 113",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075577",
"telephone_number": "919-401-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "KESHAWNA",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-30",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.