Active NPI
Curtis Andra Keith, MS, LAC
- Counselor
- Little Rock, AR
National Provider Identifier
1497330302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A2103225
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A2103225 | AR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling and Consulting Services, LLC | Past | Accepting new patients | |
| Quality Living Center, Inc | Past | 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.
-
- Substance Abuse Rehabilitation Facility
- Little Rock, AR
- NPI 1326438904
-
- Community/Behavioral Health Agency
- Jacksonville, AR
- NPI 1083267496
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.