KEYSHA REYNOLDS (NPI# 1366851727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366851727 |
| Entity Type | Individual |
| Full Name | KEYSHA REYNOLDS |
| Credential | NCC, LPC |
| Practice Address |
2712 Middleburg Dr Ste 206 Columbia SC 29204-2415 |
| Mailing Address |
401 Elders Pond Cir Columbia SC 29229-7184 |
| Practice Telephone | 8037574325 |
| Mailing Telephone | (803) 315-9413 |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6380 | SC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
10885 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Elders Pond Cir, Columbia, SC 292297184 | 8033159413 |
| Street Address |
2712 MIDDLEBURG DR STE 206 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386756971 | Robert Scott Thompson | Emergency Medicine | 2712 Middleburg Dr Ste 206, Columbia, SC 29204-2415 | 2006-08-31 |
| 1376175000 | Carolina Pain Solutions, LLC | Pain Medicine | 2712 Middleburg Dr Ste 206, Columbia, SC 29204-2415 | 2020-02-11 |
| 1174043558 | Royal Ivey Wellness, Inc. | Community/Behavioral Health | 2712 Middleburg Dr Ste 206, Columbia, SC 29204-2415 | 2017-06-26 |
| 1821366030 | Nikesha D Jacobs | Counselor | 2712 Middleburg Dr Ste 206, Columbia, SC 29204-2415 | 2011-12-02 |
| 1962721886 | Winstead and Associates, Inc. | Voluntary or Charitable | 2712 Middleburg Dr Ste 206, Columbia, SC 29204-2415 | 2010-05-18 |
| 1558485458 | Willie Goines | Counselor | 2712 Middleburg Dr Ste 206, Columbia, SC 29204-2415 | 2007-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
| 1518565928 | Family and Individual Therapeutic Healing LLC | Counselor | 300 Long Pointe Ln Ste 220-b, Columbia, SC 29229-7543 | 2020-10-16 |
| 1093321150 | Cynthia Roark | Counselor | 1021 Pinnacle Point Dr Ste 120, Columbia, SC 29223-5740 | 2020-09-23 |
| 1033722871 | Laine Jones | Counselor | 455 Saint Andrews Rd # Suittec1, Columbia, SC 29210-4486 | 2020-08-30 |
| 1952914988 | Oprah Ingram | Counselor | 9570 Two Notch Rd Ste 8, Columbia, SC 29223-4309 | 2020-08-28 |
| 1093339897 | Bryant Rogers | Counselor | 2 Hempstead Pl, Columbia, SC 29229-7762 | 2020-06-08 |
| 1821627498 | Christi Stewart | Counselor | 1809 Atascadero Dr, Columbia, SC 29206-1413 | 2020-04-06 |
| 1316577299 | Chandra Hope Mossine | Counselor | 2012 Cherry Hill Dr Ste 102b, Columbia, MO 65203-5882 | 2020-01-20 |
| 1871132233 | Patricia Dudley | Counselor | 6659 Buckstone Ct, Columbia, MD 21044-4103 | 2020-01-03 |
| 1871139790 | James Roland Blucher | Counselor | 10545 Jason Ln, Columbia, MD 21044-2212 | 2019-11-26 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.