Active NPI
Keys Counseling, Inc.
- Community/Behavioral Health Agency
- Michigan City, IN
National Provider Identifier
1093048159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- KEYS COUNSELING, INC.
- Practice address
- 126 W 4TH St
Michigan City, IN 46360-3304 - Phone
- (219) 809-0333
- Fax
- (219) 809-0334
- NPI assigned
- Sep 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Silvio R. Perez, M.S.W.
- Title
- President / C.E.O.
- Phone
- (219) 241-0218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
126 W 4TH St
Michigan City, IN 46360-3304
Mailing address
PO Box 1745
La Porte, IN 46352-1745
Phone (219) 809-0333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100148310 | Medicaid | IN | |
| 1063544450 | Other | NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Keys Counseling Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- La Porte, IN
- NPI 1336454719
Locations
126 W 4th St
Michigan City, IN 46360
Phone (219) 809-0333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252368000000",
"number": "1093048159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1745",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463521745",
"telephone_number": "219-809-0333",
"fax_number": "219-809-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 W 4TH ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463603304",
"telephone_number": "219-809-0333",
"fax_number": "219-809-0334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYS COUNSELING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-08",
"last_updated": "2009-09-08",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "SILVIO",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT / C.E.O.",
"authorized_official_telephone_number": "219-241-0218",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.S.W."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100148310",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1063544450",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.