Individual provider Active NPI

Tammy June Keeler, LPC-C

  • Counselor
  • Oklahoma City, OK
National Provider Identifier
1740800259
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
101Y00000X Issued in OK
Practice address
3140 W Britton Rd Ste 201
Oklahoma City, OK 73120-2039
Phone
(405) 607-6292
NPI assigned
Apr 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 101Y00000X OK Primary

Addresses

Primary practice location

3140 W Britton Rd Ste 201
Oklahoma City, OK 73120-2039

Mailing address

2311 Bellaire Dr
Moore, OK 73160-4126
Phone (405) 476-3212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101Y00000XOKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Therapeutic Services, LLC CurrentSince Apr 26, 2020 Accepting new patients

Locations

3140 W Britton Rd
Ste 201
Oklahoma City, OK 73120
Phone (405) 242-5030

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1740800259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 BELLAIRE DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604126",
            "telephone_number": "405-476-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 W BRITTON RD STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202039",
            "telephone_number": "405-607-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELER",
        "first_name": "TAMMY",
        "middle_name": "JUNE",
        "credential": "LPC-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "101Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.