Individual provider Active NPI

Keshia Dukes, LPC

  • Mental Health Counselor
  • Grenada, MS
National Provider Identifier
1073081295
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2317 Issued in MS
Practice address
1300 Sunset Dr Ste Z
Grenada, MS 38901-4082
Phone
(662) 307-9028
NPI assigned
Nov 6, 2018
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2317 MS Primary

Addresses

Primary practice location

1300 Sunset Dr Ste Z
Grenada, MS 38901-4082

Mailing address

1300 Sunset Dr Ste Z
Grenada, MS 38901-4082
Phone (662) 307-9028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

130 Fontanelle Blvd
Madison, MS 39110-6845

1300 Sunset Dr
Suite 2
Grenada, MS 38901-4081
Phone (662) 307-9028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2317MSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Therapy and Wellness LLC Current Accepting new patients

Locations

1300 Sunset Dr
Ste Z
Grenada, MS 38901
Phone (662) 226-4246

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": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1073081295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DR STE Z",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014082",
            "telephone_number": "662-307-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DR STE Z",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014082",
            "telephone_number": "662-307-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "KESHIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

Verify at the official NPI Registry.