Kristie Lynne Keasler, BSW MS/LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1600 W Maud St Ste 2
Poplar Bluff, MO 63901-4726

Phone

(417) 860-3458

NPI assigned

Nov 27, 2013

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 MO

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Balance to Wellness Counseling LLC

  • Counselor
  • Poplar Bluff, MO
  • NPI 1760137061
  Medicare reassignment NPD Authorized official
• Insightful Behavioral Health

  • Clinical Social Worker
  • Poplar Bluff, MO
  • NPI 1417608407
  NPD

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1811328958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W MAUD ST STE 2",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014726",
            "telephone_number": "573-872-4798",
            "fax_number": "573-872-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W MAUD ST STE 2",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014726",
            "telephone_number": "417-860-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEASLER",
        "first_name": "KRISTIE",
        "middle_name": "LYNNE",
        "credential": "BSW MS/LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Muiruri Kahuho, MD
• Shantilal V Karavadia, M.D.
• Rajdeep Kaur, DDS
• Ankineedu Kavuru, MD
• Sherry Lynn Kays, CPHT
• Shannon Doris Keasler, LPC
• Keeling and Keeling Enterprises LLC
• James Dennis Keeling, M.A., CCC-SLP
• Sandra L. Keeling, LPC
• Kristy Michelle Keirsey, RDH

• Counselor in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.