Active NPI
Geremy F. Keeton, M.MFT, LMFT
- Pastoral Counselor
- Colorado Springs, CO
National Provider Identifier
1831479369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 2050 Bramblwood LN
Colorado Springs, CO 80920-1588 - Phone
- (719) 310-2995
- NPI assigned
- Aug 29, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | TX | Primary | |
| Marriage & Family Therapist | 106H00000X | 724 | CO |
Addresses
Primary practice location
2050 Bramblwood LN
Colorado Springs, CO 80920-1588
Mailing address
2050 Bramblwood LN
Colorado Springs, CO 80920-1588
Phone (719) 310-2995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-4224058 | Other | CO | GK COUNSELING & THERAPEUTIC SERVICES, LLC (REGISTERED IN COLORADO) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 724 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1831479369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 BRAMBLWOOD LN",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201588",
"telephone_number": "719-310-2995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 BRAMBLWOOD LN",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201588",
"telephone_number": "719-310-2995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEETON",
"first_name": "GEREMY",
"middle_name": "F.",
"name_prefix": "Mr.",
"credential": "M.MFT, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-29",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "724",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GK COUNSELING & THERAPEUTIC SERVICES, LLC (REGISTERED IN COLORADO)",
"identifier": "27-4224058",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.