Christopher Eugene Keenan Sr., LADC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6804 Issued in CT

Practice address

19 Newfane Rd
New Fairfield, CT 06812-4720

Phone

(475) 289-8378

NPI assigned

Jan 13, 2022

Sex

Male

Sole proprietor

Yes

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Stokes Counseling Services LLC

  • Professional Counselor
  • Naugatuck, CT
  • NPI 1134541469
  Medicare reassignment NPD

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1013668748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 NEWFANE RD",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124720",
            "telephone_number": "475-289-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 NEWFANE RD",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124720",
            "telephone_number": "475-289-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LADC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-13",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "6804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Kangavve Kagoro, RN
• Jennifer Kaminski, PT
• William Joshua Kaplan, DO
• Helene R Karlin, PHD
• Roger H Karlin, MD
• Joseph Kenny, DMD
• Kristin Rose Kinsey, MSPT
• Kelly Rose Kronen, CPT
• Roseanne Laforte, RBT
• Lavender Lane Occupational Therapy PLLC

• Professional Counselor in New Fairfield, CT
• Providers in New Fairfield, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.