Keelan Dennis MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

KEELAN DENNIS MFT

Practice address

2103 E Washington St Ste 2G
Bloomington, IL 61701-4365

Phone

(309) 431-1649

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

Keelan Dennis, MSNPI 1578099875

Title

Mental Health Counselor

Phone

(309) 431-1649

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keelan Dennis

  • Marriage & Family Therapist
  • Pleasant Hill, OR
  • NPI 1578099875
  NPD Authorized official

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1376018770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 E WASHINGTON ST STE 2G",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014365",
            "telephone_number": "309-431-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 E WASHINGTON ST STE 2G",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014365",
            "telephone_number": "309-431-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEELAN DENNIS MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "KEELAN",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "309-431-1649",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578099875",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith A Kattner, D.O.
• Madelyn K Kaufman
• Theresa Kauth
• William Allen Kauth, ED.D. , ATC, CSCS
• Ashley Nicole Keck, MS, LAT, ATC
• Allison Courtney Keeran, CSFA
• Ashley Kelch
• Brett L. Keller, D.O.
• John B Keller, D.D.S.
• Kimberly A. Keller, OT

• Marriage & Family Therapist in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.