Active NPI
Kelley Annette Fitzgerald Keyser, ASW
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1164590329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 200 E North Ave
Baltimore, MD 21202-4888 - Phone
- (443) 984-2000
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
200 E North Ave
Baltimore, MD 21202-4888
Mailing address
1625 E Main St
Suite 200
El Cajon, CA 92021-5211
Phone (619) 441-1907
Other practice location 1
10430 Shaker Dr Ste 200
Columbia, MD 21046-2336
Phone (410) 925-8893
Other names 1
- Miss Kelley Annette Fitzgerald
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore City Public Schools | Current | Accepting new patients | |
| Jennifer Hilton Therapy, LLC | Mental Health | Past | Accepting new patients |
Locations
200 E North Ave
Baltimore, MD 21202
Phone (443) 642-4196
Organizations & group practices 2
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.
-
- Audiologist
- Baltimore, MD
- NPI 1598312316
-
- Mental Health Counselor
- Columbia, MD
- NPI 1710456637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1164590329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 E MAIN ST",
"address_2": "SUITE 200",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920215211",
"telephone_number": "619-441-1907",
"fax_number": "619-441-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E NORTH AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212024888",
"telephone_number": "443-984-2000"
}
],
"practiceLocations": [
{
"address_1": "10430 Shaker Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210462336",
"country_code": "US",
"telephone_number": "410-925-8893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZGERALD KEYSER",
"first_name": "KELLEY",
"middle_name": "ANNETTE",
"name_prefix": "Mrs.",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLEY",
"last_name": "FITZGERALD",
"middle_name": "ANNETTE",
"prefix": "MISS",
"credential": "ASW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.