Individual provider Active NPI

Kaeley Rebekah Miles

  • Speech-Language Pathologist
  • West Columbia, SC
National Provider Identifier
1821713033
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8175 Issued in SC
Practice address
123 E Medical LN
West Columbia, SC 29169-4813
Phone
(803) 791-2397
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8175 SC Primary

Addresses

Primary practice location

123 E Medical LN
West Columbia, SC 29169-4813

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 791-2203

Other practice location 1

304 Jacobs Hwy
Clinton, SC 29325-7279
Phone (864) 833-2550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmiles181297@direct.lexmed.com

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
8175SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Nov 15, 2024 Accepting new patients
Lexington Health Inc CurrentSince Nov 15, 2024 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc Current Accepting new patients

Locations

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

123 E Medical Ln
West Columbia, SC 29169
Phone (803) 791-2155

Interoperability endpoints

  • Direct secure messaging: kmiles181297@direct.lexmed.com

Organizations & group practices 4

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1821713033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-791-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E MEDICAL LN",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694813",
            "telephone_number": "803-791-2397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Jacobs Hwy",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "293257279",
            "country_code": "US",
            "telephone_number": "864-833-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "KAELEY",
        "middle_name": "REBEKAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmiles181297@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "123 E Medical Ln",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.