Keith Jared Anthony

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC000703 Issued in PA

Practice address

221 N Center St
Corry, PA 16407-1626

Phone

(814) 462-7869

Fax

(814) 664-2552

NPI assigned

Dec 5, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Empowering Counseling Services, PC

  • Professional Counselor
  • Corry, PA
  • NPI 1558916338
  NPD

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1346056207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E MAIN ST",
            "city": "SPARTANSBURG",
            "state": "PA",
            "postal_code": "164341009",
            "telephone_number": "814-964-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N CENTER ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071626",
            "telephone_number": "814-462-7869",
            "fax_number": "814-664-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 S Main St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "PA",
            "postal_code": "164381329",
            "country_code": "US",
            "telephone_number": "814-462-7869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "KEITH",
        "middle_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "APC000703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affordable Smiles Inc.
• Affordable Smiles of Corry
• Laurie Albright
• Michael Antoon, DO
• Hamza Asif, MBBS
• Amy J Bahl, CRNP
• Gordon R Bailey, P.T.
• Andrea Sue Ball, DMD

• Professional Counselor in Corry, PA
• Providers in Corry, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.