Keith A Medeiros, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011055 Issued in VA

Practice address

454 E Main St
Abingdon, VA 24210-3408

Phone

(276) 300-4422

Fax

(833) 276-0046

NPI assigned

Jan 12, 2022

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope and Healing Center LLC

  • Clinical Social Worker
  • Abingdon, VA
  • NPI 1992162044

  Professional

  NPD

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1306597190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 E MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103408",
            "telephone_number": "276-300-4422",
            "fax_number": "833-276-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 E MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103408",
            "telephone_number": "276-300-4422",
            "fax_number": "833-276-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "KEITH",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly McPike-Copenhaver
• Casey Dillon McReynolds, MD
• Ella Farida Meade, D.O.
• Morgan Elijah Meade, PA-C
• Med-Peds Management LLC
• Tracy Lyn Meek, LCSW
• Margaret Merrick
• Ashton N Merriman, LPC
• Sana Omer Mian, MD, MPH
• Michaels Pharmacy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.