Active NPI
Karen Keating, M.ED., LPCC, LADAC
- Mental Health Counselor
- Dulce, NM
National Provider Identifier
1285823435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0099501
- Practice address
- 26 Narrow Gauge Dr.
Dulce, NM 87528 - Phone
- (575) 759-3162
- NPI assigned
- Oct 23, 2007
- Last updated
- Oct 27, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0102151 | NM | |
| Mental Health Counselor | 101YM0800X | 0099501 | NM | Primary |
Addresses
Primary practice location
26 Narrow Gauge Dr.
Dulce, NM 87528
Mailing address
PO Box 546
Dulce, NM 87528-0546
Phone (505) 759-3162
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102151 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| 0099501 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jicarilla Apache Nation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Jicarilla Behavioral Health
- Community/Behavioral Health Agency
- Dulce, NM
- NPI 1508051061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193443200000",
"number": "1285823435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 546",
"city": "DULCE",
"state": "NM",
"postal_code": "875280546",
"telephone_number": "505-759-3162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 NARROW GAUGE DR.",
"city": "DULCE",
"state": "NM",
"postal_code": "87528",
"telephone_number": "575-759-3162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATING",
"first_name": "KAREN",
"name_prefix": "Ms.",
"credential": "M.ED., LPCC, LADAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2007-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "0102151",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0099501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dulce, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.