Individual provider Active NPI

Jeffrey Keele

  • Marriage & Family Therapist
  • Duncan, OK
National Provider Identifier
1548906217
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
10746 Issued in OK
Practice address
3125 Brookwood Ave
Duncan, OK 73533-1362
Phone
(580) 786-4018
NPI assigned
May 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 10746 OK Primary

Addresses

Primary practice location

3125 Brookwood Ave
Duncan, OK 73533-1362

Mailing address

3125 Brookwood Ave
Duncan, OK 73533-1362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20241018001477 OK Practitioner - Marriage and Family Therapist 7012449762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reggie Pennypacker, Aprn-CNP, PLLCGroup PAC ID 2668708371, 4 clinicians

Practice addresses (Care Compare)

3125 Brookwood Ave
Duncan, OK 73533-1362
Phone (580) 786-4018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10746OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reggie Pennypacker, Aprn-CNP, PLLC CurrentSince Oct 4, 2024 Accepting new patients

Locations

1611 N Brookwood Dr
Duncan, OK 73533
Phone (580) 786-4018

2434 Harville Rd
Ste 400
Duncan, OK 73533
Phone (580) 786-4018

Organizations & group practices 1

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1548906217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 BROOKWOOD AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 BROOKWOOD AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331362",
            "telephone_number": "580-786-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELE",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "10746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.