Keith Renfroe

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KEITH RENFROE

Practice address

17504 Carriageway Dr.
Suite B
Hazel Crest, IL 60429

Phone

(708) 799-0300

Fax

(773) 298-0110

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Keith Richard Renfroe, M.A.

Title

Ceo

Phone

(708) 799-0300

Specialties & licenses 1

Addresses

Other names 1

• Inner Healing Institute, LLC Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Willie Larry Blackmon, LCPC; CADC; MA

  • Professional Counselor
  • Hazel Crest, IL
  • NPI 1477762052
  NPD (past)
• Pamela Elaine Geddes, MA

  • Professional Counselor
  • Hazel Crest, IL
  • NPI 1386857969
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649497462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9651 S. UNION",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281016",
            "telephone_number": "773-298-0110",
            "fax_number": "773-298-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17504 CARRIAGEWAY DR.",
            "address_2": "SUITE B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-799-0300",
            "fax_number": "773-298-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH RENFROE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENFROE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-799-0300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Healing Institute, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Theodore Kardasis, M.D.
• Karriem'S Developmental Services
• Khatera Karzai, DO
• Tanjeev Kaur, M.D.
• Kyriaki M Keenan, PA-C
• Keystone Orthopedic Specialists S C
• Keystone Surgicare Inc
• Shahzaib Khan, DO
• Julie Kim, MD
• Solomon Kim, M.D.

• Professional Counselor in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.