Heather Ann Keane

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH27405 Issued in FL

Practice address

1400 Old Dixie Hwy FL 32084
St Augustine, FL 32084-4190

Phone

(904) 829-2273

NPI assigned

Nov 24, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

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.

• Learning and Behavioral Center

  • Assistant Behavior Analyst
  • Tarzana, CA
  • NPI 1922769314
  NPD
• Epic Community Services, Inc

  • Community/Behavioral Health Agency
  • St Augustine, FL
  • NPI 1831279280
  NPD (past)
• Learning and Behavioral Center. LLC

  • Behavior Analyst
  • Tarzana, CA
  • NPI 1710116223
  NPD (past)

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1679230643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OLD DIXIE HWY FL 32084",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844190",
            "telephone_number": "904-829-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD DIXIE HWY FL 32084",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844190",
            "telephone_number": "904-829-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH27405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Mariam Kavtaradze
• Robert Kawa, D.O.
• Andrew Kawamleh
• KBS Walter Group LLC
• Birendra KC, MD
• Meghan Kelly Keating, PMHNP-BC
• Christine Keck, COTA
• Megan Ann Keegan, M.S.
• Zackary Keen
• Jennifer Keeney

• Mental Health Counselor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.