Andrew Keeley

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401018274 Issued in MI

Practice address

3208 Whitewood Dr
Midland, MI 48642-6681

Phone

(989) 415-4520

NPI assigned

Nov 7, 2016

Sex

Male

Sole proprietor

No

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.

• Saginaw Psychological Services, Inc.

  • Psychologist
  • Saginaw, MI
  • NPI 1821163882

  MI

  Medicare reassignment NPD
• Andrew J. Keeley, PLLC

  • Mental Health Counselor
  • Midland, MI
  • NPI 1124723200
  NPD Authorized official
• BHG Lxxxiii, LLC

  • Multi-Specialty Clinic/Center
  • Mt Pleasant, MI
  • NPI 1922712009
  NPD (past)
• Michigan Therapeutic Consultants PC

  • Methadone Clinic
  • Mount Pleasant, MI
  • NPI 1598932253
  NPD (past)
• Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2021.

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1821530965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 WHITEWOOD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486426681",
            "telephone_number": "989-415-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 WHITEWOOD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486426681",
            "telephone_number": "989-415-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEY",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-07",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401018274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lee Keck
• Joseph T Keckeisen
• Cherrill Keel
• Lauren Rae Keel, RN
• Timothy P. Keeler, PA-C
• Allison Keen
• Bethany Ann Keenan, LBSW
• Patricia Lynne Keenihan, MS OTR/L
• Kehres Health and Chiropractic
• Jyl Kirsten Keinath

• All providers in Midland, MI
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.