Individual provider Active NPI

Spencer Keech, P.C.

  • Mental Health Counselor
  • Cleveland, OH
National Provider Identifier
1629496005
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1200011 Issued in OH
Practice address
7800 Detroit Ave
Cleveland, OH 44102-2814
Phone
(216) 939-3709
Fax
(216) 631-3654
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1200011 OH Primary

Addresses

Primary practice location

7800 Detroit Ave
Cleveland, OH 44102-2814

Mailing address

7800 Detroit Ave
Cleveland, OH 44102-2814
Phone (216) 939-3709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240208004291 OH Practitioner - Mental Health Counselor 3274976915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways Counseling and Growth CenterGroup PAC ID 3870716251, 5 clinicians

Practice addresses (Care Compare)

347 Midway Blvd
Suite 210
Elyria, OH 44035-2496
Phone (440) 323-5707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1200011OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling and Growth Center CurrentSince Jan 1, 2024 Accepting new patients
Catholic Charities Corporation Past Accepting new patients
Pathways Counseling and Growth Center PastSince Jan 1, 2024 Accepting new patients

Locations

312 3rd St
Elyria, OH 44035
Phone (440) 323-5707

347 Midway Blvd
Ste 210
Elyria, OH 44035
Phone (440) 324-5555

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathwayscounselingcenter/r4/

Organizations & group practices 3

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1629496005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022814",
            "telephone_number": "216-939-3709",
            "fax_number": "216-631-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022814",
            "telephone_number": "216-939-3709",
            "fax_number": "216-631-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEECH",
        "first_name": "SPENCER",
        "credential": "P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1200011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.