Keyoshia C Liverman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704015645 Issued in VA

Practice address

6334 Peters Creek Rd
Roanoke, VA 24019-4024

Phone

(540) 348-4700

NPI assigned

Sep 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• The Balanced Brain, PLLC

  • Mental Health Counselor
  • Roper, NC
  • NPI 1306794771
  NPD Authorized official
• Tandem Counseling & Consulting, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Roanoke, VA
  • NPI 1467117143

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1396521993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 JONES WHITE RD",
            "city": "ROPER",
            "state": "NC",
            "postal_code": "279709665",
            "telephone_number": "252-505-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194024",
            "telephone_number": "540-348-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVERMAN",
        "first_name": "KEYOSHIA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704015645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Litsey
• Cody Tate Littrell, AGACNP-BC
• Roger W. Litwiller, M.D.
• Mimi Liu, PHARM.D
• Live Well Counseling & Consulting, LLC
• Lindsey A Livesay, LPC
• Candace Y Livingston, CNC., CPT.
• Phoebe Nicole Livingston, MD
• Jeremy Acebedo Llavore, MD
• Jo-Anne Llavore

• Mental Health Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.