Active NPI
Keith Emory Delancey, ATR, LPC
- Professional Counselor
- Sylva, NC
National Provider Identifier
1649233453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4691
- Practice address
- 44 Bonnie LN
Sylva, NC 28779-8511 - Phone
- (828) 631-3973
- Fax
- (828) 631-9280
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4691 | NC | |
| Professional Counselor | 101YP2500X | 4691 | NC | Primary |
Addresses
Primary practice location
44 Bonnie LN
Sylva, NC 28779-8511
Mailing address
PO Box 2187
Sylva, NC 28779-2187
Phone (828) 631-3973
Other practice location 1
154 Medical Park Loop
Sylva, NC 28779-5271
Phone (828) 631-3973
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138NE | Other | NC | BCBS OF NORTH CAROLINA |
| 6102341 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4691 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1649233453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2187",
"city": "SYLVA",
"state": "NC",
"postal_code": "287792187",
"telephone_number": "828-631-3973",
"fax_number": "828-631-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 BONNIE LN",
"city": "SYLVA",
"state": "NC",
"postal_code": "287798511",
"telephone_number": "828-631-3973",
"fax_number": "828-631-9280"
}
],
"practiceLocations": [
{
"address_1": "154 Medical Park Loop",
"address_purpose": "LOCATION",
"city": "Sylva",
"state": "NC",
"postal_code": "287795271",
"country_code": "US",
"telephone_number": "828-631-3973",
"fax_number": "828-631-9280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELANCEY",
"first_name": "KEITH",
"middle_name": "EMORY",
"credential": "ATR, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "4691",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NORTH CAROLINA",
"identifier": "138NE",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102341",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sylva, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.