Keeton Enterprises, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701000638 Issued in VA

Legal business name

KEETON ENTERPRISES, INC.

Practice address

407 Church St NE Ste I
Vienna, VA 22180-4737

Phone

(703) 356-1330

Fax

(703) 938-1373

NPI assigned

Aug 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Homer Dale Keeton, PH.D.NPI 1386651222

Title

President

Phone

(703) 356-1330

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Homer Dale Keeton, PH.D.

  • Professional Counselor
  • Vienna, VA
  • NPI 1386651222
  NPD (past) Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255348108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 ABBEY GLEN CT",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221821969",
            "telephone_number": "793-356-1330",
            "fax_number": "703-938-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CHURCH ST NE STE I",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804737",
            "telephone_number": "703-356-1330",
            "fax_number": "703-938-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEETON ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEETON",
        "authorized_official_first_name": "HOMER",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-356-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701000638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Bonnie Kaufman, PH.D.
• Ayesha Kazmi, LCSW
• Nicole Denise Kazuba, LPC
• Kathleen Keating
• Kebros & Associates, LLC (SmartCare Hospice)
• Homer Dale Keeton, PH.D.
• Jenna Kehoe
• Shannon Kehoe
• Gail Ann Kelsey, PSY.D.
• Ileane Kenney, L.C.S.W.

• Professional Counselor in Vienna, VA
• Providers in Vienna, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.