Keith Jon Van Leuven, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH3954 Issued in FL

Practice address

1020 4TH St W
Palmetto, FL 34221-5002

Phone

(941) 722-7508

Fax

(941) 729-0380

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184735185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 4TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215002",
            "telephone_number": "941-722-7508",
            "fax_number": "941-729-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 4TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215002",
            "telephone_number": "941-722-7508",
            "fax_number": "941-729-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LEUVEN",
        "first_name": "KEITH",
        "middle_name": "JON",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.