Active NPI
Victoria Ann Keough, CCHT
- Counselor
- Seattle, WA
National Provider Identifier
1386937969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- HP10-001451
- Practice address
- 3121 E Madison St
Suite 204a
Seattle, WA 98112-4262 - Phone
- (206) 369-6069
- NPI assigned
- May 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | HP10-001451 | WA | Primary |
Addresses
Primary practice location
3121 E Madison St
Suite 204a
Seattle, WA 98112-4262
Mailing address
4111 E Madison St
Suite 115
Seattle, WA 98112-3241
Phone (206) 369-6069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HP10-001451 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305504000000",
"number": "1386937969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 E MADISON ST",
"address_2": "SUITE 115",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981123241",
"telephone_number": "206-369-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 E MADISON ST",
"address_2": "SUITE 204A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981124262",
"telephone_number": "206-369-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOUGH",
"first_name": "VICTORIA",
"middle_name": "ANN",
"credential": "CCHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-16",
"last_updated": "2011-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "HP10-001451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.