Active NPI
Keith C Ross, B.A., M.S.
- Counselor
- Voorhees, NJ
National Provider Identifier
1750996229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 221 Laurel Rd Ste 102
Voorhees, NJ 08043-8301 - Phone
- (732) 903-8686
- NPI assigned
- Sep 11, 2020
- 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 | Primary |
Addresses
Primary practice location
221 Laurel Rd Ste 102
Voorhees, NJ 08043-8301
Mailing address
75 Lake Dr
Freehold, NJ 07728-1361
Phone (732) 903-8686
Other practice location 1
75 Lake Dr
Freehold, NJ 07728-1361
Phone (732) 903-8686
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
- Bachelor of Arts, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1750996229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 LAKE DR",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077281361",
"telephone_number": "732-903-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 LAUREL RD STE 102",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080438301",
"telephone_number": "732-903-8686"
}
],
"practiceLocations": [
{
"address_1": "75 Lake Dr",
"address_purpose": "LOCATION",
"city": "Freehold",
"state": "NJ",
"postal_code": "077281361",
"country_code": "US",
"telephone_number": "732-903-8686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "KEITH",
"middle_name": "C",
"credential": "B.A., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-11",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.