Organization Active NPI

Kmy International, LLC

  • Community/Behavioral Health Agency
  • Lancaster, SC
National Provider Identifier
1316317837
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KMY INTERNATIONAL, LLC
Practice address
1499 Lynwood Dr
Suite# C
Lancaster, SC 29720-0963
Phone
(919) 673-1361
NPI assigned
Sep 26, 2015
Last updated
Sep 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Mrs. Kenya Young
Title
President
Phone
(919) 673-1361

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1499 Lynwood Dr
Suite# C
Lancaster, SC 29720-0963

Mailing address

PO Box 61237
Raleigh, NC 27661-1237
Phone (919) 673-1361

Other identifiers 1

IdentifierTypeStateIssuer
GP6991MedicaidSC

National Provider Directory

National Provider Directory

Locations

1499 Lynwood Dr
Ste B
Lancaster, SC 29720
Phone (843) 492-4944

1499 Lynwood Dr
Ste C
Lancaster, SC 29720
Phone (843) 376-1806

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": "1443225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1316317837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61237",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276611237",
            "telephone_number": "919-673-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 LYNWOOD DR",
            "address_2": "SUITE# C",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297200963",
            "telephone_number": "919-673-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMY INTERNATIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-26",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-673-1361",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6991",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.