Individual provider Active NPI

Michelle Marie Keys, MA

  • Mental Health Counselor
  • Myrtle Beach, SC
National Provider Identifier
1043718547
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7834 Issued in SC
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

Updated by the provider on Dec 30, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PC009561PAMDMental Health Counselor
7834SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Keys to Health and Wellness Mental Health CurrentSince Oct 1, 2024 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.

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

Verify at the official NPI Registry.