Dana R Keener, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS005285-L Issued in PA

Practice address

5636 Bossler Rd
Elizabethtown, PA 17022-8710

Phone

(717) 367-9148

Fax

(717) 367-9148

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Transformative Pathways LLC

  • Mental Health Counselor
  • Elizabethtown, PA
  • NPI 1760108021
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1548255607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 COFFEE GOSS RD",
            "city": "MARIETTA",
            "state": "PA",
            "postal_code": "175479203",
            "telephone_number": "717-367-9148",
            "fax_number": "717-367-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5636 BOSSLER RD",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170228710",
            "telephone_number": "717-367-9148",
            "fax_number": "717-367-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "DANA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005285-L",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005285-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - BLUE SHIELD",
            "identifier": "KE650482",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE PROVID",
            "identifier": "007153843 0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Lynn Jones, CRNP- FAMILY HEALTH
• Journey Therapy, LLC
• Jul Hearing Aid Solutions, LLC
• Karason Podiatric Centers, Inc.
• Keener Nutrition LLC
• Roanna Gail Keener
• Greta Kemmer, PHARMD, BCACP
• Amanda Renee Kendig, CRNP
• Kenval Home Care (Dba)Geri Care Companion
• Sonya Kettler

• Clinical Psychologist in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.