Misti Keen, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3395 Issued in AL

Practice address

415 E Commerce St Ste 205
Greenville, AL 36037-2328

Phone

(334) 371-5848

Fax

(334) 371-5849

NPI assigned

Aug 8, 2012

Last updated

Mar 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Misti Keen, LPC, PC

  • Community/Behavioral Health Agency
  • Forest Home, AL
  • NPI 1417495979
  NPD (past) Authorized official

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1215284237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 S BOUTWELL RD",
            "city": "FOREST HOME",
            "state": "AL",
            "postal_code": "360305327",
            "telephone_number": "334-371-5848",
            "fax_number": "334-371-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E COMMERCE ST STE 205",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360372328",
            "telephone_number": "334-371-5848",
            "fax_number": "334-371-5849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Jazz Dr",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054906",
            "country_code": "US",
            "telephone_number": "850-522-9719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEN",
        "first_name": "MISTI",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH 11871",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Charnelle Johnson, PHARMD, RPH
• Jones Oxygen Inc (Jones Medical Supply)
• Ellen Scott Jones, RPH
• Kanu J Patel, MD
• Anne Harmon Keen, CRNP
• Judson Kilgore, PHARM.D
• Brian N Kille, DPM
• Lakshmikantha Kumbla, M.D.
• Sheldon R. Kushner, M.D., FACOG
• Lakshmikantha Kumbla MD

• Professional Counselor in Greenville, AL
• Providers in Greenville, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.