Active NPI
Kyle McGregor Keane, LPC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1437503398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 006437
- Practice address
- 3355 Lenox Road
Suite 300
Atlanta, GA 30326-1394 - Phone
- (770) 841-1999
- NPI assigned
- Apr 18, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 006437 | GA | Primary |
Addresses
Primary practice location
3355 Lenox Road
Suite 300
Atlanta, GA 30326-1394
Mailing address
907 Saint Charles Ave NE
Atlanta, GA 30306-4705
Phone (770) 841-1999
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 |
|---|---|---|---|
| 006437 | GA | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1437503398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 SAINT CHARLES AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303064705",
"telephone_number": "770-841-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 LENOX ROAD",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261394",
"telephone_number": "770-841-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEANE",
"first_name": "KYLE",
"middle_name": "MCGREGOR",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-18",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "006437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.