Patrick Keenan, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003163 Issued in CT

Practice address

115 Main St Ste 10
Seymour, CT 06483-3138

Phone

(203) 231-1965

Fax

(833) 216-0470

NPI assigned

Sep 12, 2013

Last updated

Mar 14, 2019By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patrick M. Keenan, PLLC

  dba Patrick M. Keenan, NCC, LPC

  • Professional Counselor
  • Seymour, CT
  • NPI 1124581178
  NPD Authorized official

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1053746784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAIN ST STE 10",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833138",
            "telephone_number": "203-231-1965",
            "fax_number": "833-216-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST STE 10",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833138",
            "telephone_number": "203-231-1965",
            "fax_number": "833-216-0470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Murray St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067101920",
            "country_code": "US",
            "telephone_number": "203-756-8317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "PATRICK",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Therapies
• Integrative Therapies LLC
• Megan Iosifidis, M.S.
• Anjori Jain, PHARM.D.
• Tineka Johnson, ND
• Erica Kelly, MOT OTR/L
• Ana Maria Lopes Kiernan
• Patrick John Kingston, LMSW
• Michael Kolpinski, LPC
• Dorothy Kovacs, MA, LMFT

• Professional Counselor in Seymour, CT
• Providers in Seymour, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.