Active NPI
Patricia Maddox Keeter, LPC
- Professional Counselor
- Forest City, NC
National Provider Identifier
1447438973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4345
- Practice address
- 375 East Main Street
Forest City, NC 28043 - Phone
- (828) 245-8595
- NPI assigned
- Feb 6, 2008
- Last updated
- Apr 19, 2016
- Sex
- Female
- 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 | 4345 | NC | Primary |
Addresses
Primary practice location
375 East Main Street
Forest City, NC 28043
Mailing address
PO Box 1619
Forest City, NC 28043-1619
Phone (828) 245-8595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103805 | Medicaid | NC |
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 |
|---|---|---|---|
| 4345 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1447438973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1619",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "280431619",
"telephone_number": "828-245-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 EAST MAIN STREET",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "28043",
"telephone_number": "828-245-8595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEETER",
"first_name": "PATRICIA",
"middle_name": "MADDOX",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103805",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forest City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.