Active NPI
Keith Harris
- Case Manager/Care Coordinator
- Marrero, LA
National Provider Identifier
1700327657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 931 Westwood Dr Ste E
Marrero, LA 70072-2400 - Phone
- (504) 340-8880
- Fax
- (504) 340-8884
- NPI assigned
- Mar 12, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | L7591 | LA | |
| Case Manager/Care Coordinator | 171M00000X | LA | Primary |
Addresses
Primary practice location
931 Westwood Dr Ste E
Marrero, LA 70072-2400
Mailing address
931 Westwood Dr Ste E
Marrero, LA 70072-2400
Phone (504) 340-8880
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7591 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acidom Consulting Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Marrero, LA
- NPI 1669728051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1700327657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 WESTWOOD DR STE E",
"city": "MARRERO",
"state": "LA",
"postal_code": "700722400",
"telephone_number": "504-340-8880",
"fax_number": "504-340-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 WESTWOOD DR STE E",
"city": "MARRERO",
"state": "LA",
"postal_code": "700722400",
"telephone_number": "504-340-8880",
"fax_number": "504-340-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KEITH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-12",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "L7591",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.