Keaton Community Services PLLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

KEATON COMMUNITY SERVICES PLLC

Practice address

6715 Hockett Country LN
Pleasant Garden, NC 27313-8262

Phone

(336) 508-0714

Fax

(336) 217-8847

NPI assigned

Apr 12, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marvin T Keaton, LPCNPI 1942518048

Title

President

Phone

(336) 508-0714

Specialties & licenses 2

Addresses

Practitioners 1

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

• Marvin Theadore Keaton III, MA, LCMHCS, LCAS,CSI

  • Professional Counselor
  • Pleasant Garden, NC
  • NPI 1942518048

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1124581392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 HOCKETT COUNTRY LN",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273138262",
            "telephone_number": "336-508-0714",
            "fax_number": "336-217-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 HOCKETT COUNTRY LN",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273138262",
            "telephone_number": "336-508-0714",
            "fax_number": "336-217-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEATON COMMUNITY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "KEATON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-508-0714",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Tofano Hathaway, MBA, MA
• Kendra Hensley
• Danaja Hogan, LCSW-A
• Michael Shaun Johnston, PHARM D
• Monica Jones, LCMHCA
• April Keaton, SLP
• Marvin Theadore Keaton III, MA, LCMHCS, LCAS,CSI
• Donald Eric Kropski, COTA/L
• Londry & Modlin XV DDS PLLC
• Sybil Lucas, PTA

• Addiction (Substance Use Disorder) Counselor in Pleasant Garden, NC
• Providers in Pleasant Garden, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.