Active NPI
Kandice Keegan, CADACII
- Addiction (Substance Use Disorder) Counselor
- Greenwood, IN
National Provider Identifier
1245112226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C2-5005
- Practice address
- 65 Airport Pkwy Ste 104
Greenwood, IN 46143-1439 - Phone
- (317) 883-5318
- Fax
- (317) 888-2138
- NPI assigned
- Jul 22, 2025
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C2-5005 | IN | Primary |
Addresses
Primary practice location
65 Airport Pkwy Ste 104
Greenwood, IN 46143-1439
Mailing address
65 Airport Pkwy Ste 104
Greenwood, IN 46143-1439
Phone (317) 883-5318
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 |
|---|---|---|---|
| C2-5005 | IN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1245112226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 AIRPORT PKWY STE 104",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431439",
"telephone_number": "317-883-5318",
"fax_number": "317-888-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 AIRPORT PKWY STE 104",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431439",
"telephone_number": "317-883-5318",
"fax_number": "317-888-2138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEGAN",
"first_name": "KANDICE",
"name_prefix": "Mrs.",
"credential": "CADACII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-22",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "C2-5005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.