Keeley Diane Miller Chase, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

281 Laclair St
Coos Bay, OR 97420-2988

Phone

(541) 266-6700

Fax

(541) 888-8726

NPI assigned

Dec 13, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Keeley Diane Miller Harris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1831633676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 LACLAIR ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202988",
            "telephone_number": "541-266-6700",
            "fax_number": "541-888-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 LACLAIR ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202988",
            "telephone_number": "541-266-6700",
            "fax_number": "541-888-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "KEELEY",
        "middle_name": "DIANE MILLER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEELEY",
            "last_name": "HARRIS",
            "middle_name": "DIANE MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cep America LLC
• Suchada Chaiwechakarn, M.D.
• Michele Chamness, FSS
• Susan Lynn Chaney, CNM
• Susan Michelle Chappelear, LPC, CADC-I
• Lawrence R Cheal, PHYSICAL THERAPIST
• Ellen H Chen, M.D.
• Unknown Cherry, MD
• Nicole Pilar Chettero, RN
• Lance K Cheung, MD

• Mental Health Counselor in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.