Kurtis Keith

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.180386 Issued in OH

Practice address

7344 Pearl Rd Ste 2B
Cleveland, OH 44130-9602

Phone

(440) 625-0081

Fax

(440) 625-0053

NPI assigned

Nov 2, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Serenity Health & Wellness Corporation

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1699494039

  Addiction (Substance Use Disorder)

  NPD
• Serenity Health & Wellness Corporation

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1992462253

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1053028720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7344 PEARL RD STE 2B",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441309602",
            "telephone_number": "440-625-0081",
            "fax_number": "440-625-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7344 PEARL RD STE 2B",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441309602",
            "telephone_number": "440-625-0081",
            "fax_number": "440-625-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "KURTIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.180386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Ann Keiper, OTRL
• Kaitlin Keister, PSYD
• Abdallah Keita
• Jacob Keith, RN
• John B Keith
• Michael W Keith, MD
• Kekee'S House of Love
• Katy Kekic, L.I.S.W.-S
• Marta Kelava, M.D.
• Susan Kelbach, APRN-C

• All providers in Cleveland, OH
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.