Patrick M. Keenan, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PATRICK M. KEENAN, PLLC

Practice address

115 Main St Ste 10
Seymour, CT 06483-3138

Phone

(203) 828-8602

Fax

(833) 216-0470

NPI assigned

Apr 8, 2019

Organization subpart

No

Name

Patrick Michael Keenan, NCC, LPCNPI 1053746784

Title

Owner/Clinician

Phone

(203) 828-8602

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Keenan, NCC, LPC

  • Professional Counselor
  • Seymour, CT
  • NPI 1053746784

  Professional

  NPD Authorized official

Locations

• Patrick M. Keenan, NCC, LPC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 20, 2025.

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1124581178",
    "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": "203-828-8602",
            "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": "203-828-8602",
            "fax_number": "833-216-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK M. KEENAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "203-828-8602",
        "authorized_official_credential": "NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrick M. Keenan, NCC, LPC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patrick M. Keenan, NCC, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naugatuck Valley Health District
• Scott Ryan Nelson
• Kathleen M Odonnell, LCSW
• Destiny Ortiz
• Thomas Park, DDS
• Ashleigh Persico
• Nicholas Piciw Jr., RPH
• Louisa Printz, MFTA
• Peter Edwin Przybylski, PHARMACIST
• David A Pudim, RPH, MHA

• All providers in Seymour, CT
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.