Individual provider Active NPI

Keely Rochandaley Foster, LPC

  • Professional Counselor
  • Brookhaven, GA
National Provider Identifier
1720181753
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC2638 Issued in GA
Practice address
3006 Clairmont Rd NE Ste 107
Brookhaven, GA 30329-1602
Phone
(678) 302-1945
Fax
(404) 601-1386
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2638 GA
Professional Counselor 101YP2500X LPC2638 GA Primary

Addresses

Primary practice location

3006 Clairmont Rd NE Ste 107
Brookhaven, GA 30329-1602

Mailing address

3006 Clairmont Rd NE Ste 107
Brookhaven, GA 30329-1602
Phone (678) 302-1945

Other identifiers 1

IdentifierTypeStateIssuer
909054024BMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kfoster@mhcservices.net Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2638GAMDMental Health Counselor
LPC2638GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Comprehensive Services Professional CurrentSince Oct 1, 2019 Accepting new patients

Locations

3103 Clairmont Rd NE
Ste B
Brookhaven, GA 30329
Phone (678) 302-1945

3006 Clairmont Rd NE
Ste 107
Brookhaven, GA 30329
Phone (678) 302-1945

7100 Peachtree Dunwoody Rd
Ste 200
Sandy Springs, GA 30328
Phone (678) 302-1945

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1720181753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 CLAIRMONT RD NE STE 107",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291602",
            "telephone_number": "678-302-1945",
            "fax_number": "404-601-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 CLAIRMONT RD NE STE 107",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291602",
            "telephone_number": "678-302-1945",
            "fax_number": "404-601-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "KEELY",
        "middle_name": "ROCHANDALEY",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "2638",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC2638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "909054024B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kfoster@mhcservices.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3006 Clairmont Rd NE Ste 107",
            "city": "Brookhaven",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303291602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.