Individual provider Active NPI

Sarah N Keen

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1205647807
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
86360 Issued in TX
Practice address
17206 Blanco Rd BLDG 2
San Antonio, TX 78232-2816
Phone
(210) 209-0642
Fax
(855) 357-8282
NPI assigned
Jan 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 86360 TX Primary

Addresses

Primary practice location

17206 Blanco Rd BLDG 2
San Antonio, TX 78232-2816

Mailing address

17206 Blanco Rd BLDG 2
San Antonio, TX 78232-2816
Phone (210) 209-0642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203001288 TX Practitioner - Mental Health Counselor 6608305883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling4Life, LLCGroup PAC ID 5496163511, 15 clinicians

Practice addresses (Care Compare)

17206 Blanco Rd
BLDG 2
San Antonio, TX 78232-2816
Phone (210) 209-0642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling4Life, LLC Professional CurrentSince Jan 21, 2025 Accepting new patients
Stephanie a Richards LPC, PLLC Professional CurrentSince Jan 19, 2025 Accepting new patients
Goodmindrx PastSince Aug 4, 2024 Accepting new patients

Locations

17206 Blanco Rd
Ste 2101
San Antonio, TX 78232
Phone (210) 209-0642

17206 Blanco Rd
Bldg 2
San Antonio, TX 78232
Phone (210) 209-0642

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1205647807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17206 BLANCO RD BLDG 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322816",
            "telephone_number": "210-209-0642",
            "fax_number": "855-357-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17206 BLANCO RD BLDG 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322816",
            "telephone_number": "210-209-0642",
            "fax_number": "855-357-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "SARAH",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.