Individual provider Active NPI

Katherine Monroe Dyson, LPC-A

  • Mental Health Counselor
  • Mount Pleasant, SC
National Provider Identifier
1922502988
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-A6818 Issued in SC
Practice address
222 West Coleman Blvd
Suite #107
Mount Pleasant, SC 29464
Phone
(540) 523-1883
NPI assigned
Mar 22, 2018
Last updated
Sep 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LPC-A6818 SC Primary

Addresses

Primary practice location

222 West Coleman Blvd
Suite #107
Mount Pleasant, SC 29464

Mailing address

1262 Woodsage Drive
Hanahan, SC 29410
Phone (757) 645-7002

Other names 1

  • Ms. Katherine Eileen Monroe Former name

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

LicenseStateTypeSpecialty
LPC-A6818SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Behavioral Solutions, LLC Mental Health CurrentSince Sep 29, 2019 Accepting new patients

Locations

222 W Coleman Blvd
Ste 107
Mt Pleasant, SC 29464
Phone (540) 523-1883

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1922502988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 WOODSAGE DRIVE",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "29410",
            "telephone_number": "757-645-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WEST COLEMAN BLVD",
            "address_2": "SUITE #107",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "540-523-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSON",
        "first_name": "KATHERINE",
        "middle_name": "MONROE",
        "name_prefix": "Mrs.",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "LPC-A6818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MONROE",
            "middle_name": "EILEEN",
            "prefix": "MS.",
            "credential": "LPC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.