Active NPI
Katherine Anne Keister, LPCC
- Mental Health Counselor
- Farmington, NM
National Provider Identifier
1194963884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- T-0117971
- Practice address
- 4800 College Blvd
Suite 102
Farmington, NM 87402-4710 - Phone
- (505) 326-3566
- NPI assigned
- Feb 3, 2009
- 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 | T-0117971 | NM | Primary |
Addresses
Primary practice location
4800 College Blvd
Suite 102
Farmington, NM 87402-4710
Mailing address
4800 College Blvd
Suite 102
Farmington, NM 87402-4710
Phone (505) 326-3566
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 |
|---|---|---|---|
| T-0117971 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1194963884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 COLLEGE BLVD",
"address_2": "SUITE 102",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874024710",
"telephone_number": "505-326-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 COLLEGE BLVD",
"address_2": "SUITE 102",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874024710",
"telephone_number": "505-326-3566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEISTER",
"first_name": "KATHERINE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-03",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "T-0117971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.