Caroline Grace Keeven, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2024003541 Issued in MO

Practice address

1020 Pchas Way
Farmington, MO 63640-3026

Phone

(573) 756-6744

NPI assigned

Feb 7, 2024

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Presbyterian Children'S Homes and Services

  • Adolescent and Children Mental Health Clinic/Center
  • Austin, TX
  • NPI 1790879617
  NPD (past)

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1689438004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 FOX GLOVE",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636408711",
            "telephone_number": "573-516-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PCHAS WAY",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403026",
            "telephone_number": "573-756-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEVEN",
        "first_name": "CAROLINE",
        "middle_name": "GRACE",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2024003541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Audette Julian, MHP
• Jessica Marie Kahle
• Ismar Karadzic, PHARMD
• Lindsay Nicole Kearns
• Evelyn Keel
• Samuel Keeven, PHARMD
• Dustin Keith, PHARMD
• Robbin T Keller
• Jeanne Kelley, RPH
• Sarah E. Kelly, LCSW

• Professional Counselor in Farmington, MO
• Providers in Farmington, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.