Christopher Wade Keener, LPC, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

64759 Issued in TX

Practice address

3330 S Lancaster Rd
Dallas, TX 75216-4531

Phone

(972) 528-6832

NPI assigned

Oct 13, 2008

Last updated

Jul 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1417109208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752164531",
            "telephone_number": "972-528-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752164531",
            "telephone_number": "972-528-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "CHRISTOPHER",
        "middle_name": "WADE",
        "credential": "LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10947",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Keenan, PT
• Brooklyn Keene, NP
• Cynthia Keene, MD
• Kasey Pomposelli Keene, PA-C
• Pei-Chih Keene
• Emma Claire Keeney, MD
• Zachary Goodwin Keenum, M.D.
• Keep Talking Speech Language Services PLLC (Pamela Green)
• Cheyanne Wendy Collins Keesee, AUD
• Heather Claire Keesee

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.