Samantha Marie Keyes, MA, LAC
Individual provider Active NPI Mental Health Counselor · Annandale, NJ
NPI 1457110397 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1457110397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 37AC00401600 (NJ)
- Practice address
- 1465 NJ-31 S
Beaver Brook Concourse, Suite 7
Annandale, NJ 08801 - Phone
- (908) 237-2577
- Fax
- (908) 894-5309
- NPI assigned
- Mar 14, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00401600 | NJ | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00401600 | NJ | Yes |
Addresses
Primary practice location
1465 NJ-31 S
Beaver Brook Concourse, Suite 7
Annandale, NJ 08801
Mailing address
1465 NJ-31 S
Beaver Brook Concourse, Suite 7
Annandale, NJ 08801
Phone (908) 237-2577
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- Christina C Kiel-Madurki
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All providers in Annandale, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.