Individual provider Active NPI

Douglas F C Keffer, PH D

  • Pastoral Counselor
  • Roanoke, VA
National Provider Identifier
1518274521
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
5440 Peters Creek Rd
Suite 103
Roanoke, VA 24019-3862
Phone
(540) 562-5068
Fax
(540) 562-5069
NPI assigned
Sep 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X Primary

Addresses

Primary practice location

5440 Peters Creek Rd
Suite 103
Roanoke, VA 24019-3862

Mailing address

5440 Peters Creek Rd
Suite 103
Roanoke, VA 24019-3862
Phone (540) 562-5068

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1518274521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 PETERS CREEK RD",
            "address_2": "SUITE 103",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240193862",
            "telephone_number": "540-562-5068",
            "fax_number": "540-562-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 PETERS CREEK RD",
            "address_2": "SUITE 103",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240193862",
            "telephone_number": "540-562-5068",
            "fax_number": "540-562-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEFFER",
        "first_name": "DOUGLAS",
        "middle_name": "F C",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.