Organization Active NPI

Gabrielle K Keenum Ma LPC PC

  • Counselor
  • Lubbock, TX
National Provider Identifier
1003285321
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
16235 Issued in TX
Legal business name
GABRIELLE K KEENUM MA LPC PC
Practice address
6309 Indiana Ave Ste D
Lubbock, TX 79413-5739
Phone
(806) 790-1327
Fax
(806) 863-3874
NPI assigned
Sep 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Mrs. Gabrielle K Keenum, MA
Title
Owner/LPC
Phone
(806) 790-1327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 16235 TX Primary

Addresses

Primary practice location

6309 Indiana Ave Ste D
Lubbock, TX 79413-5739

Mailing address

6309 Indiana Ave Ste D
Lubbock, TX 79413-5739
Phone (806) 790-1327

National Provider Directory

National Provider Directory

Locations

6309 Indiana Ave
Ste D
Lubbock, TX 79413
Phone (806) 239-5854

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1003285321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 INDIANA AVE STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135739",
            "telephone_number": "806-790-1327",
            "fax_number": "806-863-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 INDIANA AVE STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135739",
            "telephone_number": "806-790-1327",
            "fax_number": "806-863-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLE K KEENUM MA LPC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "KEENUM",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "806-790-1327",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "16235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.