Active NPI
Keys to Health and Wellness
- Mental Health Counselor
- Myrtle Beach, SC
National Provider Identifier
1164090866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KEYS TO HEALTH AND WELLNESS
- Practice address
- 3874 Renee Dr Unit B
Myrtle Beach, SC 29579-4358 - Phone
- (717) 649-9138
- NPI assigned
- Jun 17, 2021
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Michelle Marie Keys
- Title
- Owner/Provider
- Phone
- (717) 649-9138
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Currie, NC
- NPI 1083909972
Mental Health
-
- Social Worker
- Knoxville, TN
- NPI 1962838474
-
- Professional Counselor
- Turnersville, NJ
- NPI 1417707985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241114003515 | SC | Part B Supplier - Clinic/Group Practice | 0840724746 |
Receives reassigned benefits from 2 practitioners Practice locations: Myrtle Beach, SC |
National Provider Directory
National Provider DirectoryLocations
3015 Drywall Dr
Unit 101
Myrtle Beach, SC 29577
3874 Renee Dr
Unit B
Myrtle Beach, SC 29579
Phone (717) 649-9138
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2024.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1164090866",
"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": {
"organization_name": "KEYS TO HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-17",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "KEYS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "717-649-9138"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"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 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.