Active NPI
Karen S. Keeton, L.M.H.C.
- Mental Health Counselor
- Lynwood, WA
National Provider Identifier
1316303605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00003860
- Practice address
- 19101 36TH Avenue West
Suite 208
Lynwood, WA 98036 - Phone
- (425) 210-4311
- Fax
- (888) 920-2011
- NPI assigned
- Jan 3, 2016
- Last updated
- Jan 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00003860 | WA | Primary |
Addresses
Primary practice location
19101 36TH Avenue West
Suite 208
Lynwood, WA 98036
Mailing address
18816 90 PL. W.
Edmonds, WA 98026
Phone (425) 210-4311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2050314 | Medicaid | WA |
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 |
|---|---|---|---|
| LH00003860 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1316303605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18816 90 PL. W.",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-210-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19101 36TH AVENUE WEST",
"address_2": "SUITE 208",
"city": "LYNWOOD",
"state": "WA",
"postal_code": "98036",
"telephone_number": "425-210-4311",
"fax_number": "888-920-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEETON",
"first_name": "KAREN",
"middle_name": "S.",
"credential": "L.M.H.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-03",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00003860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2050314",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.