Andrew J Keith, MPA, M.ED, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

280398 Issued in KY

Practice address

149 Enterprise Dr
Somerset, KY 42501-6155

Phone

(606) 679-6995

Fax

(606) 451-9465

NPI assigned

Oct 23, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Somerset Mental Health, PSCGroup PAC ID 1254320716, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Somerset Mental Health, PSC

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1891722146
  Medicare reassignment Care Compare group NPD
• Specialized Alternative for Families and Youth of Kentucky, Inc.

  • Case Management Agency
  • Lexington, KY
  • NPI 1265508485
  NPD (past)
• Specialized Alternatives for Families and Youth of Kentucky-Bowling GR

  • Case Management Agency
  • Bowling Green, KY
  • NPI 1619357498
  NPD (past)
• Specialized Alternatives for Families and Youth of Kentucky, Inc.

  • Case Management Agency
  • Crestview Hills, KY
  • NPI 1255407466
  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1629611512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-695-8010",
            "fax_number": "419-695-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 ENTERPRISE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016155",
            "telephone_number": "606-679-6995",
            "fax_number": "606-451-9465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3540 S Highway 27 Ste 4",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425013124",
            "country_code": "US",
            "telephone_number": "606-679-1815",
            "fax_number": "606-451-1631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "MPA, M.ED, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-23",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "280398",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "265747",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "280398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Keck
• Gage Keck, DO
• Tiffany Keck, APRN
• Keith D. Chambers, D.M.D.,P.S.C.
• Keith Sinclair MD PLLC
• Jeana Lee Keith, APRN-CNP
• Melinda Marie Keith, CPSS
• Paula Keith
• Charissa Gene Kelly, MA CFY/SLP
• Leslie Suzanne Kelly, PTA

• Mental Health Counselor in Somerset, KY
• Providers in Somerset, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.