Keith Keller, L.M.S.W

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

075011 Issued in IA

Practice address

928 Main St
Keokuk, IA 52632-4655

Phone

(319) 524-4397

NPI assigned

Mar 2, 2015

Last updated

Mar 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Associates, Inc

  • Community/Behavioral Health Agency
  • Keokuk, IA
  • NPI 1598922643
  NPD
• Alcohol & Drug Dependency Services

  • Substance Abuse Rehabilitation Facility
  • Keokuk, IA
  • NPI 1386810646
  NPD (past)

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1366834251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 MAIN ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526324655",
            "telephone_number": "319-524-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 MAIN ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526324655",
            "telephone_number": "319-524-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KEITH",
        "credential": "L.M.S.W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "075011",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "075011",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "075011",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "075011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Justice
• Jagadamba Kantamneni, M.D.
• Kearse Chiropractic & Sports Rehab Inc
• Andrew William Kearse, D.C.
• Keaslings Corp
• Christina Kelly, APRN, FNP-C
• Keokuk Anethesia Associates
• Keokuk Area Group Home
• Keokuk Area Group Home
• Keokuk Area Hospital (Keokuk Area Hospital Home Health Care)

• Addiction (Substance Use Disorder) Counselor in Keokuk, IA
• Providers in Keokuk, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.