Active NPI
Laura Ann Keyser, PH.D, LPC
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1336556398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC006766
- Practice address
- 9815 Roosevelt Blvd
Suite B
Philadelphia, PA 19114-1011 - Phone
- (610) 644-6464
- Fax
- (610) 981-6078
- NPI assigned
- Jul 22, 2014
- Last updated
- Jul 22, 2014
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006766 | PA | Primary |
Addresses
Primary practice location
9815 Roosevelt Blvd
Suite B
Philadelphia, PA 19114-1011
Mailing address
1440 Russell Rd
Paoli, PA 19301-1236
Phone (610) 644-6464
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006766 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Management Inc | Past | Accepting new patients |
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, 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": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1336556398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 RUSSELL RD",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011236",
"telephone_number": "610-644-6464",
"fax_number": "610-981-6078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9815 ROOSEVELT BLVD",
"address_2": "SUITE B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141011",
"telephone_number": "610-644-6464",
"fax_number": "610-981-6078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYSER",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "PH.D, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.