Active NPI
Keith Carnahan, MA, NCC, CAC II
- Addiction (Substance Use Disorder) Counselor
- Longmont, CO
National Provider Identifier
1568831824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ACB.0008255
- Practice address
- 24 9TH Ave
Longmont, CO 80501-4575 - Phone
- (303) 772-3853
- NPI assigned
- Sep 16, 2015
- Last updated
- May 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NLC.0105138 | CO | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACB.0008255 | CO | Primary |
Addresses
Primary practice location
24 9TH Ave
Longmont, CO 80501-4575
Mailing address
24 9TH Ave Unit B
Longmont, CO 80501-4575
Phone (303) 772-3853
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACB.0008255 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| NLC.0105138 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1568831824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 9TH AVE UNIT B",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805014575",
"telephone_number": "303-772-3853",
"fax_number": "303-484-5417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 9TH AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805014575",
"telephone_number": "303-772-3853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNAHAN",
"first_name": "KEITH",
"name_prefix": "Mr.",
"credential": "MA, NCC, CAC II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-16",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "NLC.0105138",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACB.0008255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
- Carmel Community Living Corporation
- Carmel Community Living Corporation (Overture)
- Carmel Community Living Corporation (Overture)
- Anna Beatrice Carmichael
- Suzanne Carmona, PHD, CN
- Carolyn Stillman LCSW
- Alfred Nathan Carr, MD
- Emily Elizabeth Carr, PT, DPT
- Mario Carrillo, LPC
- Constance Ann Carroll, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.