Active NPI
Gabrielle K Keenum Ma LPC PC
- Counselor
- Lubbock, TX
National Provider Identifier
1003285321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 16235
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 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 DirectoryLocations
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.