Active NPI
Michelle Marie Keys, MA
- Mental Health Counselor
- Myrtle Beach, SC
National Provider Identifier
1043718547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7834
- Practice address
- 3874 Renee Dr Unit B
Myrtle Beach, SC 29579-4358 - Phone
- (717) 649-9138
- NPI assigned
- Jan 30, 2018
- 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 | 7834 | SC | Primary |
| Mental Health Counselor | 101YM0800X | PC009561 | PA |
Addresses
Primary practice location
3874 Renee Dr Unit B
Myrtle Beach, SC 29579-4358
Mailing address
3874 Renee Dr Unit B
Myrtle Beach, SC 29579-4358
Phone (717) 649-9138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250205001418 | SC | Practitioner - Mental Health Counselor | 7012441918 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3874 Renee Dr
Unit B
Myrtle Beach, SC 29579-4358
Phone (717) 649-9138
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC009561 | PA | MD | Mental Health Counselor |
| 7834 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keys to Health and Wellness | Mental Health | Current | Accepting new patients |
| Pressley Ridge | Past | Accepting new patients |
Locations
3874 Renee Dr
Unit B
Myrtle Beach, SC 29579
Phone (717) 649-9138
3015 Drywall Dr
Unit 101
Myrtle Beach, SC 29577
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Myrtle Beach, SC
- NPI 1164090866
Mental Health, SC
-
- Community/Behavioral Health Agency
- Harrisburg, PA
- NPI 1992017586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1043718547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3874 RENEE DR UNIT B",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794358",
"telephone_number": "717-649-9138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3874 RENEE DR UNIT B",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794358",
"telephone_number": "717-649-9138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYS",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "7834",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC009561",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.