Keysha Reynolds, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6380 Issued in SC

Practice address

9153C Two Notch Rd Ste 2
Columbia, SC 29223-5832

Phone

(803) 394-4279

Fax

(803) 728-3276

NPI assigned

Aug 10, 2014

Last updated

Mar 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Royal Ivey Wellness, Inc.

  dba Keysha A. Reynolds

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1174043558
  NPD Authorized official
• Rooted Community Behavioral Health, LLC

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1316841547
  Authorized official Same address or phone

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1366851727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9153C TWO NOTCH RD STE 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235832",
            "telephone_number": "803-394-4279",
            "fax_number": "803-728-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9153C TWO NOTCH RD STE 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235832",
            "telephone_number": "803-394-4279",
            "fax_number": "803-728-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KEYSHA",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-10",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10885",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC5056",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Reynolds, RD
• Erin Weaver Reynolds, RN
• Isabella Reynolds
• Jordan Reynolds
• Justice Reynolds
• Rembert Neal Reynolds, M.D.
• Susan D Reynolds, MD
• David Andrew Reznick, DDS
• Elona Rhame, RN
• Catherine Bennet Rhea

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.