Active NPI
Kimberly Louise Keon
- Mental Health Counselor
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 88001118A
- Practice address
- 720 45TH St
Munster, IN 46321-2818 - Phone
- (219) 852-2513
- Fax
- (317) 865-1479
- NPI assigned
- May 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 88001118A | IN | Primary |
Addresses
Primary practice location
720 45TH St
Munster, IN 46321-2818
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
350 Indian Boundary Rd
Chesterton, IN 46304-1511
Phone (219) 308-1570
Other practice location 2
9111 Broadway Ste N
Merrillville, IN 46410-7097
Phone (219) 791-1006
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | MedicsCloud | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 45TH St
Munster, IN 46321-2818
Phone (219) 852-2513
900 Ridge Rd
Suite T
Munster, IN 46321-1727
Phone (219) 213-6009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88001118A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Animal Assisted Counseling of Indiana | Mental Health | Current | Accepting new patients |
| Parkdale Center LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Parkdale Center LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
350 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 929-5367
9111 Broadway
Ste N
Merrillville, IN 46410
Phone (219) 791-1006
900 Ridge Rd
Ste T
Munster, IN 46321
Phone (219) 213-6009
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Munster, IN
- NPI 1699272773
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Mental Health Counselor
- Chesterton, IN
- NPI 1558006007
Addiction (Substance Use Disorder)
-
- Substance Abuse Rehabilitation Facility
- Chesterton, IN
- NPI 1568834992
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1134865322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 45TH ST",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212818",
"telephone_number": "219-852-2513",
"fax_number": "317-865-1479"
}
],
"practiceLocations": [
{
"address_1": "350 Indian Boundary Rd",
"address_purpose": "LOCATION",
"city": "Chesterton",
"state": "IN",
"postal_code": "463041511",
"country_code": "US",
"telephone_number": "219-308-1570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9111 Broadway Ste N",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464107097",
"country_code": "US",
"telephone_number": "219-791-1006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEON",
"first_name": "KIMBERLY",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-10",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "88001118A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "MedicsCloud",
"affiliation": "N",
"endpointDescription": "Electronic EMR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Electronic",
"address_1": "350 Indian Boundary Rd",
"city": "Chesterton",
"state": "IN",
"country_code": "US",
"postal_code": "463041511",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.