Active NPI
Lynn Matti Keel, LPCC
- Professional Counselor
- Peachtree City, GA
National Provider Identifier
1417485137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC01462
- Practice address
- 325 Barberry LN
Peachtree City, GA 30269-4295 - Phone
- (715) 574-4584
- Fax
- (715) 574-4584
- NPI assigned
- May 25, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC01462 | MN | Primary |
Addresses
Primary practice location
325 Barberry LN
Peachtree City, GA 30269-4295
Mailing address
325 Barberry LN
Peachtree City, GA 30269-4295
Phone (715) 574-4584
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 |
|---|---|---|---|
| CC01462 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1417485137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 BARBERRY LN",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694295",
"telephone_number": "715-574-4584",
"fax_number": "715-574-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 BARBERRY LN",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694295",
"telephone_number": "715-574-4584",
"fax_number": "715-574-4584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEL",
"first_name": "LYNN",
"middle_name": "MATTI",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC01462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.