Vicky Salvador Keenan, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IC-2334 Issued in NV

Practice address

2740 S Jones Blvd
Las Vegas, NV 89146-5306

Phone

(702) 248-8866

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marivic Salvador Keenan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Zane Medical Group LLC

  • Primary Care Clinic/Center
  • North Las Vegas, NV
  • NPI 1801495932
  NPD (past)

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1396336426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465306",
            "telephone_number": "702-248-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465306",
            "telephone_number": "702-248-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "VICKY",
        "middle_name": "SALVADOR",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "IC-2334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIVIC",
            "last_name": "KEENAN",
            "middle_name": "SALVADOR",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Keen, PTA
• Elizabeth P Keen
• Damaria Devonta Keenan
• Rashad Keenan
• Sharon Keenan
• Madison Keeney
• Keep Safe Wellcare Center, LLC
• Keep the Faith Behavioral Health LLC
• Keepin It Real Behavioral Health
• Keeping Youth Educated, Inc

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.