Active NPI
Melissa a Keogh Limited Liability Company
- Mental Health Counselor
- East Hanover, NJ
National Provider Identifier
1245054261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MELISSA A KEOGH LIMITED LIABILITY COMPANY
- Practice address
- 31 S Ridgedale Ave
East Hanover, NJ 07936-1804 - Phone
- (973) 632-5135
- NPI assigned
- Nov 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa A Keogh, LPC LCADC
- Title
- Licensed Mental Health Therapist
- Phone
- (973) 632-5135
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
31 S Ridgedale Ave
East Hanover, NJ 07936-1804
Mailing address
31 S Ridgedale Ave
East Hanover, NJ 07936-1804
Phone (973) 632-5135
Other names 1
- Melissa Keogh
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Denville, NJ
- NPI 1871159566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731628800000",
"number": "1245054261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 S RIDGEDALE AVE",
"city": "EAST HANOVER",
"state": "NJ",
"postal_code": "079361804",
"telephone_number": "973-632-5135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 S RIDGEDALE AVE",
"city": "EAST HANOVER",
"state": "NJ",
"postal_code": "079361804",
"telephone_number": "973-632-5135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELISSA A KEOGH LIMITED LIABILITY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A",
"authorized_official_last_name": "KEOGH",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "LICENSED MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "973-632-5135",
"authorized_official_credential": "LPC LCADC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Melissa Keogh",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Hanover, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.