Marshell Keaton

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

75 Piedmont Ave NE Ste 907
Atlanta, GA 30303-2571

Phone

(404) 420-3202

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Integrated Health Resources Dba Behavioral Health Link

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1376663781
  NPD (past)

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1457925067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 STONEWALL ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303131399",
            "telephone_number": "229-322-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PIEDMONT AVE NE STE 907",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032571",
            "telephone_number": "404-420-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATON",
        "first_name": "MARSHELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-06-03",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://behavioralhealthlink.com/",
            "affiliation": "Y",
            "affiliationName": "Integrated Health Resources dba Behavioral Health Link",
            "address_1": "75 Piedmont Ave NE",
            "address_2": "Suite 910",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303032544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://behavioralhealthlink.com/",
            "affiliation": "N",
            "address_1": "75 Piedmont Ave NE",
            "address_2": "Suite 910",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303032544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John G Keating, M.D.
• Nicole Keating, LCSW
• Virginia Souris Keating, NP-C
• Amelia Anne Keaton, M.D.
• Janaya Keaton
• Alisa A. Keats, PAAA
• Michael D Keats, PA-AA
• Kayla Breanne Starling Kebbel, M.D.
• Sachin Kedar, M.B.B.S, M.D.
• Katrina Keebler

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.