Mary Kathleen Keenan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701003305 Issued in VA

Practice address

10470 Armstrong St
Fairfax, VA 22030-3648

Phone

(703) 385-7575

Fax

(703) 385-7578

NPI assigned

Oct 27, 2006

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.

• Dean Consulting, Inc

  • Professional Counselor
  • Fairfax, VA
  • NPI 1669687380
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699850420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11518 CLARA BARTON DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391334",
            "telephone_number": "703-250-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 ARMSTRONG ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303648",
            "telephone_number": "703-385-7575",
            "fax_number": "703-385-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Keding
• Janet Kedzie, NP-C
• Mary Catherine Savage Keefe, AUD, CCC-A
• Valerie Kay Keehn, BCBA
• Emily Lyn Keenan, MS., CCC-SLP
• Kazumi Keener, OT
• Samantha Anne Kehn
• Daniel Edward Keim, M.D.
• Kathryn Gray Keiser, M.S.
• Keith J Wilson DDS PC

• Professional Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.