Keith Stewart Mundis, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1223 Issued in SC

Practice address

311 Bennett Center Dr
Greer, SC 29650-1259

Phone

(864) 968-9687

Fax

(864) 968-9449

NPI assigned

Nov 21, 2006

Sex

Male

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Table Rock Integrated Health and Wellness Practice, LLC.Group PAC ID 0648462333, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Table Rock Integrated Health and Wellness Practice, LLC.

  • Psychiatry Physician
  • Travelers Rest, SC
  • NPI 1104145184

  Professional

  Medicare reassignment Care Compare group NPD
• Family Therapy & Trauma Center

  • Marriage & Family Therapist
  • Greer, SC
  • NPI 1205885522

  Professional

  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720153380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BENNETT CENTER DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501259",
            "telephone_number": "864-968-9687",
            "fax_number": "864-968-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BENNETT CENTER DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501259",
            "telephone_number": "864-968-9687",
            "fax_number": "864-968-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDIS",
        "first_name": "KEITH",
        "middle_name": "STEWART",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "1223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merri Allison Mugan, MCD, CCC-SLP
• Jacqueline Mulholland, PT
• Sachiko Mullikin, RBT
• Sheree Mulvaney
• Mark V Muncy, DMD
• John Alden Munn Jr., D.M.D.
• Bailey Munson
• Barbara Sharon Murray, MD
• Elizabeth Bedell Murray
• Heena Murray, RN

• Professional Counselor in Greer, SC
• Providers in Greer, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.