Monesia Keenan-Kern

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1920 SW Kurtz LN
Grants Pass, OR 97526-2803

Phone

(541) 295-3072

Fax

(541) 295-3074

NPI assigned

Apr 18, 2019

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Kairos Northwest

  • Community/Behavioral Health Agency
  • Grants Pass, OR
  • NPI 1487782900
  NPD (past)

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1093378614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 NEBRASKA AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275700",
            "telephone_number": "541-956-4943",
            "fax_number": "541-295-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 SW KURTZ LN",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262803",
            "telephone_number": "541-295-3072",
            "fax_number": "541-295-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN-KERN",
        "first_name": "MONESIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Kasler, CCC-SLP
• Andrew Russell Kaufman
• Taranjeet Kaur, M.D.
• Brandon Kazzazi, DDS
• Kelly Wynn Keef, MS
• Mark A Keim
• Eun Keith
• Heidi Kelley
• Pamela Dee Kelley
• Daniel E Kellogg, CADC - R

• Counselor in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.