Active NPI
Linda Jean Keeler, LPC
- Counselor
- Southbury, CT
National Provider Identifier
1497941660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 30 Poverty Rd
Suite B
Southbury, CT 06488-2254 - Phone
- (203) 910-3543
- Fax
- (203) 263-6565
- NPI assigned
- Sep 20, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CT | Primary |
Addresses
Primary practice location
30 Poverty Rd
Suite B
Southbury, CT 06488-2254
Mailing address
30 Poverty Rd
Suite B
Southbury, CT 06488-1948
Phone (203) 910-3543
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008004566 | Medicaid | CT | |
| 240001585CT02 | Other | CT | ANTHEM |
| 11793020 | Other | CT | HEALTHYCT |
| 9536370 | Other | CT | AETNA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389052800000",
"number": "1497941660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 POVERTY RD",
"address_2": "SUITE B",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064881948",
"telephone_number": "203-910-3543",
"fax_number": "203-263-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 POVERTY RD",
"address_2": "SUITE B",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064882254",
"telephone_number": "203-910-3543",
"fax_number": "203-263-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELER",
"first_name": "LINDA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2014-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008004566",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "240001585CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHYCT",
"identifier": "11793020",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9536370",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.