Keith E Hampton, SAC-IT, MA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

19033-130 Issued in WI

Practice address

5109 World Dairy Dr
Madison, WI 53718-3807

Phone

(608) 242-0220

Fax

(608) 242-1166

NPI assigned

Nov 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: keith.hampton@ctcprograms.com

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1588200125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 WORLD DAIRY DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537183807",
            "telephone_number": "608-242-0220",
            "fax_number": "608-242-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 WORLD DAIRY DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537183807",
            "telephone_number": "608-242-0220",
            "fax_number": "608-242-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "KEITH",
        "middle_name": "E",
        "credential": "SAC-IT, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19033-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KEITH.HAMPTON@CTCPROGRAMS.COM",
            "affiliation": "N",
            "endpointDescription": "COMPANY EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "5109 World Dairy Dr",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537183807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie I Hammes, MS,MFT
• Susanna M. Hammes, RPH
• Marcella K Hammond, LAC
• Adrienne R Hampton, MD
• Emily Danielle Hampton, NP
• Susan A Hamre Veling, PTA
• Molly Hamre
• Timmons H Hamrick III, MD
• Carol M Hamus, NP
• Bruce Wei Han, MD

• Addiction (Substance Use Disorder) Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.