Individual provider Active NPI

Kaisha Keith, LPC , LCPC

  • Professional Counselor
  • Maryland Heights, MO
National Provider Identifier
1326286980
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004578 Issued in VA
Practice address
14100 Magellan PLZ
14100 Magellan Plaza
Maryland Heights, MO 63043-4644
Phone
(800) 462-1812
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3024 MD
Professional Counselor 101YP2500X 0701004578 VA Primary

Addresses

Primary practice location

14100 Magellan PLZ
14100 Magellan Plaza
Maryland Heights, MO 63043-4644

Mailing address

14100 Magellan PLZ
Maryland Heights, MO 63043-4644
Phone (800) 462-1812

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

State licenses

LicenseStateTypeSpecialty
LC3024MDMDProfessional Counselor
0701004578VAMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1326286980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 MAGELLAN PLZ",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434644",
            "telephone_number": "800-462-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 MAGELLAN PLZ",
            "address_2": "14100 MAGELLAN PLAZA",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434644",
            "telephone_number": "800-462-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "KAISHA",
        "credential": "LPC , LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3024",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.