Active NPI
Kmy International, LLC
- Community/Behavioral Health Agency
- Lancaster, SC
National Provider Identifier
1316317837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP6991 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Lancaster, SC
- NPI 1922516822
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.