Individual provider Active NPI

Curtis Andra Keith, MS, LAC

  • Counselor
  • Little Rock, AR
National Provider Identifier
1497330302
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A2103225 Issued in AR
Practice address
3925 Asher Ave
Little Rock, AR 72204-6355
Phone
(501) 663-3490
Fax
(501) 663-3446
NPI assigned
Mar 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A2103225 AR Primary

Addresses

Primary practice location

3925 Asher Ave
Little Rock, AR 72204-6355

Mailing address

8305 Oxford Valley Dr
Mabelvale, AR 72103-2332
Phone (501) 416-5385

Other practice location 1

607 N 1st St Ste 1
Jacksonville, AR 72076-4142
Phone (501) 457-7024

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
Master of Science

State licenses

LicenseStateTypeSpecialty
A2103225ARMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling and Consulting Services, LLC Past Accepting new patients
Quality Living Center, Inc PastSince Mar 16, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1497330302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 OXFORD VALLEY DR",
            "city": "MABELVALE",
            "state": "AR",
            "postal_code": "721032332",
            "telephone_number": "501-416-5385",
            "fax_number": "501-663-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 ASHER AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722046355",
            "telephone_number": "501-663-3490",
            "fax_number": "501-663-3446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 N 1st St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AR",
            "postal_code": "720764142",
            "country_code": "US",
            "telephone_number": "501-457-7024",
            "fax_number": "501-214-4134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "CURTIS",
        "middle_name": "ANDRA",
        "credential": "MS, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A2103225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.