Individual provider Active NPI

Keegan Rae Morgan Allen, LMSW, CSWI

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1609506146
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10027-M Issued in NV
Practice address
6490 S McCarran Blvd BLDG a
Reno, NV 89509-6165
Phone
(775) 448-9760
NPI assigned
Jun 16, 2022
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 10027-M NV Primary

Addresses

Primary practice location

6490 S McCarran Blvd BLDG a
Reno, NV 89509-6165

Mailing address

6490 S McCarran Blvd Ste A6
Reno, NV 89509-6119
Phone (775) 448-9760

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address health@healingminds.com Direct

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

State licenses

LicenseStateTypeSpecialty
10027-MNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Minds, LLC Clinical CurrentSince Jun 21, 2022 Accepting new patients
Grounded Roots Therapy Clinical Past Accepting new patients

Locations

6490 S McCarran Blvd
Bldg A
Reno, NV 89509
Phone (775) 448-9760

6490 S McCarran Blvd
Ste A6
Reno, NV 89509
Phone (775) 448-9760

Interoperability endpoints

  • Direct secure messaging: health@healingminds.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1609506146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 S MCCARRAN BLVD STE A6",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096119",
            "telephone_number": "775-448-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 S MCCARRAN BLVD BLDG A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096165",
            "telephone_number": "775-448-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KEEGAN",
        "middle_name": "RAE MORGAN",
        "credential": "LMSW, CSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10027-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "health@healingminds.com",
            "affiliation": "N",
            "endpointDescription": "healing minds",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6490 S McCarran Blvd Bldg A",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895096165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.