Taylor Danielle Kea, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15670 Issued in NC

Practice address

4240 Tristone Falls Ave Apt 2D
Raleigh, NC 27616-2862

Phone

(910) 290-2794

NPI assigned

Jun 10, 2020

Sex

Female

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 NC

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

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.

• Recovery Innovations, Inc

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1700257664

  Multi-Specialty

  Medicare reassignment NPD
• Wakemed

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1194907717

  Multi-Specialty

  Medicare reassignment NPD
• Recovery Innovations, Inc

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1902776107
  NPD
• Wakemed

  • Psychiatric Hospital Unit
  • Raleigh, NC
  • NPI 1780446302
  NPD

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1942825419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 TRISTONE FALLS AVE APT 2D",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162862",
            "telephone_number": "910-290-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 TRISTONE FALLS AVE APT 2D",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162862",
            "telephone_number": "910-290-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEA",
        "first_name": "TAYLOR",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aylin Kaya, PHD
• Barbara Kaynan, MA, RDT
• Rebecca Boyette Kayye, LCSW
• KBT NC, LLC
• KBX Pathways to Wellness LLC
• Alexus Zhane Kealon, LCSW
• Barry Joseph Keane, M.D.
• Brenna Anne Keane
• Andrew Brogan Keaney, LCMHCA
• Chante Kearney

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.