Active NPI
Andralyn Jody Keys
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1982925418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 123559
- Practice address
- 3138 W Barstow Ave
Fresno, CA 93711-2603 - Phone
- (559) 285-9933
- NPI assigned
- Jun 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RI-K1307290910 | CA | |
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Marriage & Family Therapist | 106H00000X | 123559 | CA | Primary |
Addresses
Primary practice location
3138 W Barstow Ave
Fresno, CA 93711-2603
Mailing address
7490 N Woodrow Ave
Fresno, CA 93720-0135
Phone (559) 285-9933
Other practice location 1
1788 Celeste Ave
Clovis, CA 93611-2069
Phone (559) 285-9933
Other practice location 2
2291 N Hazel Ave
Fresno, CA 93722-5562
Phone (559) 285-9933
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 |
|---|---|---|---|
| RI-K1307290910 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 123559 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1982925418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7490 N WOODROW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200135",
"telephone_number": "559-285-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3138 W BARSTOW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937112603",
"telephone_number": "559-285-9933"
}
],
"practiceLocations": [
{
"address_1": "1788 Celeste Ave",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "CA",
"postal_code": "936112069",
"country_code": "US",
"telephone_number": "559-285-9933",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2291 N Hazel Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937225562",
"country_code": "US",
"telephone_number": "559-285-9933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEYS",
"first_name": "ANDRALYN",
"middle_name": "JODY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RI-K1307290910",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "123559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.