Active NPI
Kesler Ballew
- Professional Counselor
- Irmo, SC
National Provider Identifier
1740162734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10521
- Practice address
- 7436 Forest CT Ste 102
Irmo, SC 29063-2856 - Phone
- (803) 358-8141
- NPI assigned
- Jul 22, 2025
- Last updated
- Aug 11, 2025
- 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 | 10521 | SC | Primary |
Addresses
Primary practice location
7436 Forest CT Ste 102
Irmo, SC 29063-2856
Mailing address
301 Charing Cross Rd
Irmo, SC 29063-2325
Phone (803) 727-4904
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 |
|---|---|---|---|
| 10521 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1740162734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CHARING CROSS RD",
"city": "IRMO",
"state": "SC",
"postal_code": "290632325",
"telephone_number": "803-727-4904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7436 FOREST CT STE 102",
"city": "IRMO",
"state": "SC",
"postal_code": "290632856",
"telephone_number": "803-358-8141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLEW",
"first_name": "KESLER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-22",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "10521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.