Active NPI
Keilah Hamood, LMHC
- Mental Health Counselor
- Elkhart, IN
National Provider Identifier
1821593989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 240 Waterfall Dr
Elkhart, IN 46516-3668 - Phone
- (574) 404-8800
- NPI assigned
- Mar 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | IN | Primary |
Addresses
Primary practice location
240 Waterfall Dr
Elkhart, IN 46516-3668
Mailing address
240 Waterfall Dr
Elkhart, IN 46516-3668
Phone (574) 404-8800
Other practice location 1
1102 Fellows St
South Bend, IN 46601-3514
Phone (574) 233-9491 ext. 348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 3, 2025 through Jan 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Counseling Services, LLC | Mental Health | Current | Accepting new patients |
Locations
240 Waterfall Dr
Elkhart, IN 46516
Phone (574) 222-6514
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.
-
- Mental Health Counselor
- Elkhart, IN
- NPI 1255085205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1821593989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 WATERFALL DR",
"city": "ELKHART",
"state": "IN",
"postal_code": "465163668",
"telephone_number": "574-404-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 WATERFALL DR",
"city": "ELKHART",
"state": "IN",
"postal_code": "465163668",
"telephone_number": "574-404-8800"
}
],
"practiceLocations": [
{
"address_1": "1102 Fellows St",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466013514",
"country_code": "US",
"telephone_number": "574-233-9491 x348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMOOD",
"first_name": "KEILAH",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.