Individual provider Active NPI

Jeffrey Lynn Keiper, MA LPC

  • Counselor
  • Johnstown, PA
National Provider Identifier
1326190307
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC001529 Issued in PA
Practice address
142 Gazebo Park
Third Floor, Suite 307
Johnstown, PA 15901-1810
Phone
(814) 659-4629
Fax
(814) 539-8440
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC001529 PA Primary

Addresses

Primary practice location

142 Gazebo Park
Third Floor, Suite 307
Johnstown, PA 15901-1810

Mailing address

102 Midway Drive
Johnstown, PA 15905-3827
Phone (814) 288-3234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314003331 PA Practitioner - Mental Health Counselor 4486002136 Practice locations: Johnstown, PA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 Vine St
Suite 1
Johnstown, PA 15901-1502
Phone (814) 659-4629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1326190307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MIDWAY DRIVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053827",
            "telephone_number": "814-288-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 GAZEBO PARK",
            "address_2": "THIRD FLOOR, SUITE 307",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011810",
            "telephone_number": "814-659-4629",
            "fax_number": "814-539-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIPER",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC001529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.