Individual provider Active NPI

Levi Taylor Keehler, M.S., LPC, LADC, CPS

  • Professional Counselor
  • Tahlequah, OK
National Provider Identifier
1386801942
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3992 Issued in OK
Practice address
2021 Mahaney Ave Ste 4
Tahlequah, OK 74464-5795
Phone
(918) 901-9300
Fax
(918) 901-9339
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 606 OK
Mental Health Counselor 101YM0800X 3992 OK
Professional Counselor 101YP2500X 3992 OK Primary

Addresses

Primary practice location

2021 Mahaney Ave Ste 4
Tahlequah, OK 74464-5795

Mailing address

2021 Mahaney Ave Ste 4
Tahlequah, OK 74464-5795
Phone (918) 901-9300

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
I20240718003474 OK Practitioner - Mental Health Counselor 4183160856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2021 Mahaney Ave
Suite 4
Tahlequah, OK 74464-5795
Phone (918) 901-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3992OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Consulting and Counseling for Community Change, PLLC CurrentSince Jun 2, 2024 Accepting new patients
Robert V. Hensley,D.O.,P.C. PastSince Jan 7, 2024 Accepting new patients

Locations

2021 Mahaney Ave
Ste 4
Tahlequah, OK 74464
Phone (918) 207-1900

Organizations & group practices 2

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1386801942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 MAHANEY AVE STE 4",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645795",
            "telephone_number": "918-901-9300",
            "fax_number": "918-901-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MAHANEY AVE STE 4",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645795",
            "telephone_number": "918-901-9300",
            "fax_number": "918-901-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEHLER",
        "first_name": "LEVI",
        "middle_name": "TAYLOR",
        "name_prefix": "Mr.",
        "credential": "M.S., LPC, LADC, CPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "606",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3992",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.