Kelly Ewing, M.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1906 Highway 521 Byp S
Lancaster, SC 29720-7579

Phone

(803) 285-1456

NPI assigned

Jan 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kelly Purpura Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• South Carolina Dept of Mental Health Accounting Office

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD (past)

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1679996532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 LAKESHORE PKWY",
            "address_2": "NORTHLAKE II, SUITE 205",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304264",
            "telephone_number": "803-329-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 HIGHWAY 521 BYP S",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297207579",
            "telephone_number": "803-285-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "PURPURA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Envision Partners
• Robin D Estrada
• Catherine Evans
• Chiquita Monique Evans, SAS
• Kirk Evans, CAC
• Eyewear by David
• Robert Ezewuiro
• Manuel Fachado Jr., D.O.
• Ward M Faulkenberry, CFNP
• Brittany Diane Faulkner, PHARMD

• Mental Health Counselor in Lancaster, SC
• Providers in Lancaster, 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 Jan 29, 2014; 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.