Active NPI
Calvin Keller
- Counselor
- Bunkie, LA
National Provider Identifier
1831555408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1140 Shirley Rd
Bunkie, LA 71322-1545 - Phone
- (318) 346-8001
- Fax
- (318) 346-8005
- NPI assigned
- Jan 12, 2016
- Last updated
- Aug 10, 2017
- Sex
- Male
- Sole proprietor
- No
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 | NU | Primary |
Addresses
Primary practice location
1140 Shirley Rd
Bunkie, LA 71322-1545
Mailing address
1140 Shirley Rd
Bunkie, LA 71322-1545
Phone (318) 346-8001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1544761 | Medicaid | LA | |
| 1679507412 | Other | LA | NPI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502323200000",
"number": "1831555408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 SHIRLEY RD",
"city": "BUNKIE",
"state": "LA",
"postal_code": "713221545",
"telephone_number": "318-346-8001",
"fax_number": "318-346-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 SHIRLEY RD",
"city": "BUNKIE",
"state": "LA",
"postal_code": "713221545",
"telephone_number": "318-346-8001",
"fax_number": "318-346-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "CALVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-12",
"last_updated": "2017-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1544761",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1679507412",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bunkie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.