Jimmy L Keller, CIT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2959 Issued in LA

Practice address

2238 1St St
Slidell, LA 70458-3606

Phone

(985) 690-6622

Fax

(985) 690-6662

NPI assigned

Mar 27, 2012

Sex

Male

Sole proprietor

No

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.

• Addiction Counseling and Educational Resources, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baton Rouge, LA
  • NPI 1821563552
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2012.

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1386910016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 1ST ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583606",
            "telephone_number": "985-690-6622",
            "fax_number": "985-690-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 1ST ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583606",
            "telephone_number": "985-690-6622",
            "fax_number": "985-690-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JIMMY",
        "middle_name": "L",
        "credential": "CIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "2959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilo Kawasaki, M.D.
• Daina Keel, LPC, NCC
• Michelle Guadalupe Keelen
• Devin Anthony Keeton, HS
• Heidi Blasio Keller, PHARM D
• Taeisha Kelley
• W. Stephen Kelly, LPC/LMFT
• Ross Alexander Kelt, OD
• Frederick L Keppel, MD
• Leigh Mason Kerdyk, LCSW

• All providers in Slidell, LA
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.