Keith Idell, LCSW, P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C201412200314 Issued in NC

Legal business name

KEITH IDELL, LCSW, P.C.

Practice address

5 Allen Ave Ste B
Asheville, NC 28803-2272

Phone

(828) 200-3739

Fax

(828) 575-2698

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Billy Keith Idell, LCSWNPI 1700131455

Title

President/Owner

Phone

(828) 200-3739

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Billy Keith Idell

  • Clinical Social Worker
  • Asheville, NC
  • NPI 1700131455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1659783058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRADDOCK WAY",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032035",
            "telephone_number": "828-200-3739",
            "fax_number": "828-575-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALLEN AVE STE B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032272",
            "telephone_number": "828-200-3739",
            "fax_number": "828-575-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH IDELL, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "IDELL",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "828-200-3739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C201412200314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Dawn Keever, M.D.
• Lauren Keffer, DPT, OCS
• Scott John Keffer, PT
• Emnet Daniel Keftassa, MD
• Keith Hopper DDS PA
• Daniel Austin Keith, MS, LCMHC
• Jeffrey J Kelenske, PA
• Kristin Marie Keliher, LCMHC
• Mallory Hannon Kelleher, CRNA
• Caroline B Keller, M.S. CCC-SLP

• Community/Behavioral Health Agency in Asheville, NC
• Providers in Asheville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.