Individual provider Active NPI

Colleen Susannah McKeel, LCMHCA, M.ED

  • Mental Health Counselor
  • Cary, NC
National Provider Identifier
1407673791
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A19517 Issued in NC
Practice address
1140 Kildaire Farm Rd Ste 307
Cary, NC 27511-7600
Phone
(919) 806-7356
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A19517 NC Primary

Addresses

Primary practice location

1140 Kildaire Farm Rd Ste 307
Cary, NC 27511-7600

Mailing address

1140 Kildaire Farm Rd Ste 307
Cary, NC 27511-7600
Phone (919) 806-7356

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
A19517NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1407673791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 KILDAIRE FARM RD STE 307",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117600",
            "telephone_number": "919-806-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 KILDAIRE FARM RD STE 307",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117600",
            "telephone_number": "919-806-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEL",
        "first_name": "COLLEEN",
        "middle_name": "SUSANNAH",
        "name_prefix": "Ms.",
        "credential": "LCMHCA, M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.