Carolyn Burdett Keough, PMHNP-BC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

APRN11024878 Issued in FL

Practice address

6150 150TH Ave N
Clearwater, FL 33760-2138

Phone

(727) 422-0352

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Operation Par Inc

  • Community/Behavioral Health Agency
  • Largo, FL
  • NPI 1932268174
  NPD (past)

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1740980234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8954 ANTIGUA DR",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337772144",
            "telephone_number": "727-421-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 150TH AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602138",
            "telephone_number": "727-422-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOUGH",
        "first_name": "CAROLYN",
        "middle_name": "BURDETT",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11024878",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "APRN11024878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122759400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Herbert Kennedy, M.D.
• Kenneth M Kozlowski D.C.P.a.
• James William Kenney, DC
• Lori L Kennison, LMHC, MAC, MCAP, CRC
• David Joshua Kent, LMHC
• Izdehar Kephart
• Alexander Kerekes, PTA
• Mary Teresa Kerr, APRN
• Kerry Schinella
• Harvey Lee Kerstein, D.D.S.

• Substance Abuse Rehabilitation Facility in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.