Individual provider Active NPI

Leonard L Keele

  • Marriage & Family Therapist
  • Duncan, OK
National Provider Identifier
1346987617
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
10054 Issued in OK
Practice address
3204 W Beech Ave
Duncan, OK 73533-2254
Phone
(580) 255-7038
NPI assigned
May 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 10054 OK Primary

Addresses

Primary practice location

3204 W Beech Ave
Duncan, OK 73533-2254

Mailing address

3204 W Beech Ave
Duncan, OK 73533-2254
Phone (580) 255-7038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240306000265 OK Practitioner - Marriage and Family Therapist 6800232414 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10054OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Mental Health Services, LLC CurrentSince Feb 16, 2024 Accepting new patients

Locations

905 E Wilson St
Shawnee, OK 74804
Phone (405) 214-0116

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1346987617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 W BEECH AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735332254",
            "telephone_number": "580-255-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 W BEECH AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735332254",
            "telephone_number": "580-255-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELE",
        "first_name": "LEONARD",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "10054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.