Individual provider Active NPI

Angela Keys, MA, LPC

  • Professional Counselor
  • Apple Valley, MN
National Provider Identifier
1245881952
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3962 Issued in MN
Practice address
14843 Energy Way
Apple Valley, MN 55124-5757
Phone
(952) 209-1644
Fax
(952) 423-0365
NPI assigned
Sep 24, 2019
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3962 MN Primary

Addresses

Primary practice location

14843 Energy Way
Apple Valley, MN 55124-5757

Mailing address

14843 Energy Way
Saint Paul, MN 55124-5757
Phone (952) 209-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241224001158 MN Practitioner - Mental Health Counselor 0143757526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Progressive Inspirations IncGroup PAC ID 6406397348, 3 clinicians

Practice addresses (Care Compare)

14843 Energy Way
Apple Valley, MN 55124-5757
Phone (952) 209-1644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Inspirations, Inc. Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Apple Valley Medical Clinic, LTD. Single Specialty PastSince Sep 29, 2019 Accepting new patients

Locations

14843 Energy Way
Saint Paul, MN 55124
Phone (952) 209-1644

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, 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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1245881952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14843 ENERGY WAY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551245757",
            "telephone_number": "952-209-1644",
            "fax_number": "952-423-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14843 ENERGY WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245757",
            "telephone_number": "952-209-1644",
            "fax_number": "952-423-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYS",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "3962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.