KEEDRA D DEMUS LPC
NPI 1821885781
Counselor - Professional in Manassas, VA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since April 23, 2025PECOS EnrolledAccepts Medicare Assignment

7969 ASHTON AVE, MANASSAS, VA 20109(703) 792-8270 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Keedra D Demus Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEEDRA D DEMUS LPC (NPI 1821885781) is an individual professional provider in Manassas, Virginia, licensed in Virginia (0701014758) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1821885781

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKEEDRA D DEMUSCredential: LPC

Location Address7969 ASHTON AVEManassas, VA 20109-2885

Mailing Address7969 Ashton AveManassas, VA 20109-2885 · (703) 792-8270 · Fax (703) 792-3153

Phone(703) 792-8270

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1821885781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701014758

7969 ASHTON AVE, Manassas, VA 20109

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keedra D Demus Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961928247

PECOS Enrollment IDI20250429003696

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.