Deanna Marie Keiser

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

107 Shiloh Dr
Mount Vernon, IL 62864-7301

Phone

(618) 242-6944

Fax

(618) 242-6726

NPI assigned

Jun 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Deanna Marie Brooks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Spero Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Vernon, IL
  • NPI 1750604963
  NPD (past)

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1669967378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SHILOH DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628647301",
            "telephone_number": "618-242-6944",
            "fax_number": "618-242-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SHILOH DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628647301",
            "telephone_number": "618-242-6944",
            "fax_number": "618-242-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISER",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "BROOKS",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolynne Jorgenson
• Tammi Lynn Kash, N/A
• Kaushal Pediatric Services LTD
• Neeta B Kaushal, MD
• James Edward Keeler, PA-C
• Rya Keller, SLP
• James Kellerman, M.H.P.
• Nancy K Kertz, NP
• Chelsea Danielle Kesel, MS, CCC-SLP
• Deborah M Kessler, OT

• Professional Counselor in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.