Active NPI
Keisha Malia Heard
- Addiction (Substance Use Disorder) Counselor
- Oxford, AL
National Provider Identifier
1154946234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 118 E Choccolocco St
Oxford, AL 36203-1222 - Phone
- (256) 831-4601
- Fax
- (256) 835-3386
- NPI assigned
- Jun 15, 2020
- Last updated
- Jun 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary | |
| Social Worker | 104100000X | NU |
Addresses
Primary practice location
118 E Choccolocco St
Oxford, AL 36203-1222
Mailing address
1722A Circle Dr
Oxford, AL 36203-3210
Phone (256) 225-3716
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kheard@medmark.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1154946234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722A CIRCLE DR",
"city": "OXFORD",
"state": "AL",
"postal_code": "362033210",
"telephone_number": "256-225-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E CHOCCOLOCCO ST",
"city": "OXFORD",
"state": "AL",
"postal_code": "362031222",
"telephone_number": "256-831-4601",
"fax_number": "256-835-3386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "KEISHA",
"middle_name": "MALIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kheard@medmark.com",
"affiliation": "N",
"address_1": "118 E Choccolocco St",
"city": "Oxford",
"state": "AL",
"country_code": "US",
"postal_code": "362031222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oxford, AL
- Hartwell Therapy LLC
- Daren Hunter Hartwell
- Rachel Sheri' Haskins, DPT
- Andrew Garrett Havron, D.M.D.
- Health Care Authority of the City of Oxford, Alabama (Oxford Health Systems Primary Care)
- Brandon Heath, OTR/L
- Owen James Henderson, NRP, FP-C
- Tiffany Hickman-Gaines, LPC
- Sonya Woods Hicks, RN
- Carey Dillard Hill, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.