Peggy A Keene, RN, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH3535 Issued in FL

Practice address

301 N Baker St
Suite 213
Mount Dora, FL 32757-5574

Phone

(352) 742-0069

Fax

(352) 742-0069

NPI assigned

Sep 26, 2006

Last updated

Apr 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Registered Nurse

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1346341955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N BAKER ST",
            "address_2": "SUITE 213",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575574",
            "telephone_number": "352-742-0069",
            "fax_number": "352-742-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N BAKER ST",
            "address_2": "SUITE 213",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575574",
            "telephone_number": "352-742-0069",
            "fax_number": "352-742-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "PEGGY",
        "middle_name": "A",
        "credential": "RN, MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "59-3629156",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim P Karvasale, DMD
• Amer Kassas, APRN
• Katherine Blackwell, LCSW - Life Services
• Kathryn Johnson
• Kellie Lynne Keene
• Kelti Keister, M.A., BCBA, LBA
• Joanne M Keller, ARNP
• Zerleene Kellum
• Cameron Ryan Kelly, DC
• Whitney Robin Kelly, DC

• Mental Health Counselor in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.