Active NPI
Tamikya Kayla Staley, M.A., LPCI
- Professional Counselor
- Fort Mill, SC
National Provider Identifier
1528422425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5608
- Practice address
- 852 Gold Hill Rd
Fort Mill, SC 29708-7976 - Phone
- (803) 548-4044
- Fax
- (803) 548-4074
- NPI assigned
- Apr 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5608 | SC | Primary |
Addresses
Primary practice location
852 Gold Hill Rd
Fort Mill, SC 29708-7976
Mailing address
652 Arch Dr
Rock Hill, SC 29730-5802
Phone (803) 207-4452
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1528422425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 ARCH DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297305802",
"telephone_number": "803-207-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 GOLD HILL RD",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087976",
"telephone_number": "803-548-4044",
"fax_number": "803-548-4074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALEY",
"first_name": "TAMIKYA",
"middle_name": "KAYLA",
"credential": "M.A., LPCI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.