Sally Ann Keck, MA, CCS, LADC, TTS-C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

319402 Issued in ME

Practice address

15 Hospital Dr
Cottage Program
York, ME 03909-1011

Phone

(207) 351-2430

Fax

(207) 351-2189

NPI assigned

Jun 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558565770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "address_2": "COTTAGE PROGRAM",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-2430",
            "fax_number": "207-351-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "address_2": "COTTAGE PROGRAM",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-2430",
            "fax_number": "207-351-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECK",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA, CCS, LADC, TTS-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "319402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Spero D.M.D., LLC (Atlantic Dental Associates)
• Mary Samantha Jones, M.D.
• Michael Harrison Jones, PHARMD
• Joshua Cole MD LLC
• Michael W Jung, MD
• Jennifer A Keefe, PMHNP
• Joel William Keenan, MD
• Catherine A Kelley, RPH
• Tyla Nicole Kelley
• Nolan Kelly, DPT

• Addiction (Substance Use Disorder) Counselor in York, ME
• Providers in York, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.