Active NPI
Nathaniel David Keyse, LPCC, LICDC
- Professional Counselor
- Cleves, OH
National Provider Identifier
1184118705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1800700
- Practice address
- 5771 Hamilton Cleves Rd
Cleves, OH 45002 - Phone
- (513) 285-6891
- NPI assigned
- Jun 18, 2018
- Last updated
- Jan 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCIII.161449 | OH | |
| Mental Health Counselor | 101YM0800X | E.1800700 | OH | |
| Professional Counselor | 101YP2500X | E.1800700 | OH | Primary |
Addresses
Primary practice location
5771 Hamilton Cleves Rd
Cleves, OH 45002
Mailing address
5020 Chantilly Dr
Cincinnati, OH 45238-5707
Phone (513) 317-7785
Other practice location 1
1617 Reading Rd
Cincinnati, OH 45202-1413
Phone (513) 629-2300 ext. 2336
Other practice location 2
1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone (513) 354-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDCIII.161449 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.1800700 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1184118705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5020 CHANTILLY DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452385707",
"telephone_number": "513-317-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5771 HAMILTON CLEVES RD",
"city": "CLEVES",
"state": "OH",
"postal_code": "45002",
"telephone_number": "513-285-6891"
}
],
"practiceLocations": [
{
"address_1": "1617 Reading Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452021413",
"country_code": "US",
"telephone_number": "513-629-2300 x2336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 Madison Rd",
"address_purpose": "LOCATION",
"city": "Walnut Hills",
"state": "OH",
"postal_code": "452061706",
"country_code": "US",
"telephone_number": "513-354-5200",
"fax_number": "513-354-7115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEYSE",
"first_name": "NATHANIEL",
"middle_name": "DAVID",
"credential": "LPCC, LICDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-18",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LCDCIII.161449",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.1800700",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1800700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleves, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.