Queeda Keith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8 Executive Dr
Fairview Heights, IL 62208-1345

Phone

(618) 688-4727

NPI assigned

Jun 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Hoyleton Youth and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Belleville, IL
  • NPI 1841946225
  NPD
• Hoyleton Youth and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Belleville, IL
  • NPI 1972374890
  NPD

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1902648629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 EXECUTIVE DR",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081345",
            "telephone_number": "618-866-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 EXECUTIVE DR",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081345",
            "telephone_number": "618-688-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "QUEEDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Jones
• Susan L Journagan, M.D.
• K Medical, PC
• Nathan Kaag, BCBA
• Orah Kegler
• Dawn M Kelly
• Stephanie Kelly, FNP-C
• Kaitlin Marie Kent, MA QMHP
• Desnikka Kilpatrick
• Kinetic Health and Performance

• Mental Health Counselor in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.