Charles R Keinath

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

000011 Issued in VT

Practice address

80247 91759 Airport Rd
Berlin, VT 05602

Phone

(802) 479-1759

NPI assigned

Jan 28, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1265670327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 HIGUERA RD",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056419601",
            "telephone_number": "802-479-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80247 91759 AIRPORT RD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "05602",
            "telephone_number": "802-479-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEINATH",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret E Joyal, LPMA
• Elisabeth A Kaldor, LICSW
• Sudhin Kanabar, MD
• Ryosuke Kawatsuji, M.D.
• Andrew D Kehl
• Camden S. Kelley, BA
• Nancy Kenyon Richardson, LCMHC
• Arif Ullah Khan, MD
• Jane Barrett Kimberley, RN
• Kristen Kivlen, PA-C

• Addiction (Substance Use Disorder) Counselor in Berlin, VT
• Providers in Berlin, VT by specialty
• Addiction (Substance Use Disorder) Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.