Alice Zita Kebeumen Jamen, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

23247568 Issued in TX

Practice address

102 Pleasant St Ste 2
Concord, NH 03301-3863

Phone

(832) 867-2447

NPI assigned

Oct 26, 2022

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

Medicare fee-for-service enrollment

Enrolled in TX, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Texas Mental Health and Mental Retardation CenterGroup PAC ID 5193613446, 8 clinicians

Center State Wellness LLCGroup PAC ID 4385077577, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Central Texas Mental Health and Mental Retardation Center

  • Case Management Agency
  • Brownwood, TX
  • NPI 1619196169
  Medicare reassignment Care Compare group NPD
• Center State Wellness LLC

  • Family Nurse Practitioner
  • Concord, NH
  • NPI 1689235319
  Medicare reassignment Care Compare group
• Mind Vibe PC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1538933080

  Psychiatric/Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1780301077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 BURNISHED BAY LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062972",
            "telephone_number": "832-867-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PLEASANT ST STE 2",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013863",
            "telephone_number": "832-867-2447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10511 Burnished Bay Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774062972",
            "country_code": "US",
            "telephone_number": "832-867-2447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEBEUMEN JAMEN",
        "first_name": "ALICE",
        "middle_name": "ZITA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "092520-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "23247568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Kazanczuk, M.D.
• Ann M Kearns, PA-C
• Keating Transportation LLP
• Kim Marie Keaton
• Rebecca Keber, RD LD CNSC
• Sandra Keddy, CRNA
• Devin Mansfield Keefe, MD
• David Andrew Keenan, D.D.S., M.D.
• Keene Medical Products, LLC
• Mark Steven Kegel, MD

• Psychiatric/Mental Health Nurse Practitioner in Concord, NH
• Providers in Concord, NH by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.