Individual provider Active NPI

Carol Keeler, LPCC

  • Mental Health Counselor
  • Medina, OH
National Provider Identifier
1538125547
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
221 W Liberty St
Medina, OH 44256-2217
Phone
(330) 722-4166
Fax
(330) 725-5792
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

221 W Liberty St
Medina, OH 44256-2217

Mailing address

221 W Liberty St
Medina, OH 44256-2217
Phone (330) 722-4166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208002012 OH Practitioner - Mental Health Counselor 2062855836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Strongsville Psychological Services, Inc.Group PAC ID 5193740801, 10 clinicians

Practice addresses (Care Compare)

7370 Engle Rd
Middleburg Heights, OH 44130-3429
Phone (440) 234-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Strongsville Psychological Services, Inc. Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Cornerstone Psychological & Counseling Services of Northeast Ohio CurrentSince Jan 1, 2024 Accepting new patients
Family Statcare of Northeast Ohio, LLC Past Accepting new patients

Locations

4018 Medina Rd
Ste D
Medina, OH 44256
Phone (330) 506-1408

221 W Liberty St
Medina, OH 44256
Phone (330) 410-8444

7370 Engle Rd
Middleburg Heights, OH 44130
Phone (440) 234-9955

195 Wadsworth Rd
Ste 201B
Wadsworth, OH 44281
Phone (330) 336-2000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538125547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562217",
            "telephone_number": "330-722-4166",
            "fax_number": "330-725-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562217",
            "telephone_number": "330-722-4166",
            "fax_number": "330-725-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELER",
        "first_name": "CAROL",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.