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Anika Keyes, MA

Individual provider Active NPI Professional Counselor · Gray, LA

NPI 1104391358 · NPPES record last updated Aug 14, 2019

Key facts

NPI
1104391358
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6453 (LA)
Practice address
4266 W Main St
Gray, LA 70359-6421
Phone
(985) 714-4246
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6453LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anikakeyesfair@tdh.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 6453 LA Yes

Addresses

Primary practice location

4266 W Main St
Gray, LA 70359-6421

Mailing address

PO Box 480
Labadieville, LA 70372-0480
Phone (985) 714-4246

Other practice location 1

142 Laura Dr Ste D
Thibodaux, LA 70301-2988
Phone (985) 446-4114

Other names

  • Mrs. Anika K Fair Other name

Other providers in Gray, LA

All providers in Gray, LA · Professional Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.