Individual provider Active NPI

Keith C Ross, B.A., M.S.

  • Counselor
  • Voorhees, NJ
National Provider Identifier
1750996229
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.