Keesha Vines, L.G.P.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LGP6116 Issued in MD

Practice address

30007 Business Center Dr
Charlotte Hall, MD 20622-3101

Phone

(301) 997-1300

NPI assigned

Apr 28, 2016

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

State licenses

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.

• Faith and Healing Counseling LLC

  • Mental Health Counselor
  • Waldorf, MD
  • NPI 1467035584
  NPD Authorized official
• Faith and Healing Counseling LLC

  • Mental Health Counselor
  • Waldorf, MD
  • NPI 1548840440
  NPD Authorized official

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1992150841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 FLYING SQUIRREL CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034332",
            "telephone_number": "214-636-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30007 BUSINESS CENTER DR",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223101",
            "telephone_number": "301-997-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINES",
        "first_name": "KEESHA",
        "credential": "L.G.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP6116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tidewater LLC
• Taylor Touch, NP
• Janet Marie Trijo, CSAC, NCACII, QMHP-A
• University of Maryland Community Medical Group, Inc.
• Veterans Administration Medical Center
• VPKT Shah RX Pack LLC
• Walden Sierra Corp
• Walgreen Co
• Walgreen Co.
• Washington DC Vamc

• Counselor in Charlotte Hall, MD
• Providers in Charlotte Hall, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.