Organization Active NPI

Kenyas Counseling and Consulting

  • Mental Health Counselor
  • Climax, GA
National Provider Identifier
1104526144
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KENYAS COUNSELING AND CONSULTING
Practice address
281 Harrell Mill Rd
Climax, GA 39834-2778
Phone
(229) 220-5306
Fax
(888) 493-0450
NPI assigned
Mar 8, 2023
Last updated
Mar 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Revon Miller, MS, LPC, LMHC, CRC,NPI 1467079921
Title
Managing Member
Phone
(229) 220-5306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

281 Harrell Mill Rd
Climax, GA 39834-2778

Mailing address

281 Harrell Mill Rd
Climax, GA 39834-2778
Phone (229) 220-5306

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1104526144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 HARRELL MILL RD",
            "city": "CLIMAX",
            "state": "GA",
            "postal_code": "398342778",
            "telephone_number": "229-220-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 HARRELL MILL RD",
            "city": "CLIMAX",
            "state": "GA",
            "postal_code": "398342778",
            "telephone_number": "229-220-5306",
            "fax_number": "888-493-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENYAS COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "REVON",
        "authorized_official_title_or_position": "MANAGING  MEMBER",
        "authorized_official_telephone_number": "229-220-5306",
        "authorized_official_credential": "MS, LPC, LMHC, CRC,"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Climax, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.