Kyle Blain Keckley, IMFT, LPCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

F.1700025 Issued in OH

Practice address

195 N Grant Ave Ste 250
Columbus, OH 43215-2855

Phone

(888) 522-9174

Fax

(614) 928-9092

NPI assigned

Oct 13, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1154832483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 EASTLAND RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171217",
            "telephone_number": "440-260-8327",
            "fax_number": "440-234-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 N GRANT AVE STE 250",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432152855",
            "telephone_number": "888-522-9174",
            "fax_number": "614-928-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECKLEY",
        "first_name": "KYLE",
        "middle_name": "BLAIN",
        "credential": "IMFT, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1901016",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.1700025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMFT",
            "identifier": "F.1700025",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nevaeh Keaton
• Zainab M Kebbie
• Abdul Karim Kebe
• Chelsea A Kebodeaux, MD
• Kenneth Keck
• Stephanie Kedenburg
• Ayush Kedia, DO
• Jamie L Kee, MEDICAL ASSISTANT
• Kela Kee
• Sheldon Kee, QMHS BA

• Marriage & Family Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Marriage & Family Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.