Individual provider Active NPI

Courtney Beth Keeney, ANP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Arthur, TX
National Provider Identifier
1417456500
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10026135 Issued in OR
Practice address
2875 Jimmy Johnson Blvd Ste 100
Port Arthur, TX 77640-2002
Phone
(409) 729-9222
Fax
(409) 729-9222
NPI assigned
Feb 5, 2018
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP136430 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10026135 OR Primary

Addresses

Primary practice location

2875 Jimmy Johnson Blvd Ste 100
Port Arthur, TX 77640-2002

Mailing address

6805 Washington Blvd.
Groves, TX 77619-5931
Phone (409) 548-2624

Other practice location 1

440 E Broadway Ste 300
Eugene, OR 97401-3352
Phone (541) 762-0500

Other names 1

  • Courtney Beth Jones Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10026135ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Head Well PC Psychiatric/Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1417456500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 WASHINGTON BLVD.",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776195931",
            "telephone_number": "409-548-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 JIMMY JOHNSON BLVD STE 100",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402002",
            "telephone_number": "409-729-9222",
            "fax_number": "409-729-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 E Broadway Ste 300",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013352",
            "country_code": "US",
            "telephone_number": "541-762-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENEY",
        "first_name": "COURTNEY",
        "middle_name": "BETH",
        "credential": "ANP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136430",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10026135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "JONES",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.