Active NPI
Jackie Keothavy, LCMHCA
- Mental Health Counselor
- Asheville, NC
National Provider Identifier
1013827336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A23473
- Practice address
- 440 Montford Ave
Asheville, NC 28801-1015 - Phone
- (828) 888-0846
- Fax
- (828) 372-5147
- NPI assigned
- Sep 9, 2026
- Last updated
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A23473 | NC | Primary |
Addresses
Primary practice location
440 Montford Ave
Asheville, NC 28801-1015
Mailing address
16 Rich St
Asheville, NC 28806-3323
Phone (828) 888-0846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1013827336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 RICH ST",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288063323",
"telephone_number": "828-888-0846",
"fax_number": "828-372-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 MONTFORD AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288011015",
"telephone_number": "828-888-0846",
"fax_number": "828-372-5147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOTHAVY",
"first_name": "JACKIE",
"credential": "LCMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A23473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.