Individual provider Active NPI

Kenneth Mongoi Musalia, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1316842784
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
32601 Issued in SC
Practice address
1805 Berkshire LN
Spartanburg, SC 29303-6357
Phone
(218) 269-9860
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 32601 SC Primary

Addresses

Primary practice location

1805 Berkshire LN
Spartanburg, SC 29303-6357

Mailing address

1805 Berkshire LN
Spartanburg, SC 29303-6357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1316842784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 BERKSHIRE LN",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293036357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 BERKSHIRE LN",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293036357",
            "telephone_number": "218-269-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSALIA",
        "first_name": "KENNETH",
        "middle_name": "MONGOI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "32601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.