Individual provider Active NPI

Jared Nile Seth Keck, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Purcell, OK
National Provider Identifier
1396453197
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
210944 Issued in OK
Practice address
21374 Bryant Ave
Purcell, OK 73080-4441
Phone
(405) 990-8624
NPI assigned
Nov 10, 2022
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0103510-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 210944 OK Primary

Addresses

Primary practice location

21374 Bryant Ave
Purcell, OK 73080-4441

Mailing address

21374 Bryant Ave
Purcell, OK 73080-4441
Phone (405) 990-8624

Other practice location 1

1402 N Florence Ave Ste B
Claremore, OK 74017-3159
Phone (918) 608-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230906001973 OK Practitioner - Nurse Practitioner 6901269190 Reassigns benefits to 4 organizations
I20260204002581 CO Practitioner - Nurse Practitioner 6901269190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Mental Health, LLCGroup PAC ID 0345670733, 27 clinicians

Practice addresses (Care Compare)

1402 N Florence Ave
Suite B
Claremore, OK 74017-3159
Phone (918) 608-0380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN.0103510-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
210944OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Mental Health, LLC Single Specialty CurrentSince Jan 26, 2026 Accepting new patients
Alliance Mental Health - Colorado LLC CurrentSince Jan 1, 2026 Accepting new patients
Alliance Mental Health, LLC CurrentSince Jan 26, 2026 Accepting new patients
Alliance Mental Health, LLC. CurrentSince Mar 1, 2026 Accepting new patients
Alliance Mental Health Community Partnership Single Specialty CurrentSince Mar 1, 2026 Accepting new patients
Alliance Mental Health - Colorado LLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Premier Psych, LLC Single Specialty CurrentSince Nov 24, 2024 Accepting new patients

Locations

2601 S Lemay Ave
Unit 41
Fort Collins, CO 80525
Phone (303) 928-1051

1402 N Florence Ave
Ste B
Claremore, OK 74017
Phone 9186080380716

630 E Steve Owens Blvd
Ste 2
Miami, OK 74354
Phone (918) 544-6080

8 S Elliott St
Pryor, OK 74361

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1396453197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21374 BRYANT AVE",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730804441",
            "telephone_number": "405-990-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21374 BRYANT AVE",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730804441",
            "telephone_number": "405-990-8624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 N Florence Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740173159",
            "country_code": "US",
            "telephone_number": "918-608-0380",
            "fax_number": "209-425-5727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KECK",
        "first_name": "JARED",
        "middle_name": "NILE SETH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0103510-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "210944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcell, OK

Sources for this page

Verify at the official NPI Registry.