NPIMap

Organization Active NPI

Fairway Counseling, Inc

  • Community/Behavioral Health Agency
  • Alexandria, LA
National Provider Identifier
1568693182
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAIRWAY COUNSELING, INC
Doing business as
Fairway Rehab
Practice address
3834 Independence Dr
Alexandria, LA 71303-3533
Phone
(318) 449-4474
Fax
(318) 449-4472
NPI assigned
Jul 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Mr. Keith Andre Fox, MHP
Title
Chief Executive Office
Phone
(318) 449-4474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3834 Independence Dr
Alexandria, LA 71303-3533

Mailing address

3834 Independence Dr
Alexandria, LA 71303-3533
Phone (318) 449-4474

Other names 1

  • Fairway Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairway Counseling Agency Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1568693182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 INDEPENDENCE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033533",
            "telephone_number": "318-449-4474",
            "fax_number": "318-449-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 INDEPENDENCE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033533",
            "telephone_number": "318-449-4474",
            "fax_number": "318-449-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "318-449-4474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairway Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.