Patricia Marie Keohane, LMHC
Individual provider Active NPI Mental Health Counselor · Vineyard Haven, MA
NPI 1861676926 · NPPES record last updated Jun 14, 2016
Key facts
- NPI
- 1861676926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 7688 (MA)
- Practice address
- 15 Church St
Vineyard Haven, MA 02568-5483 - Phone
- (508) 627-2843
- Fax
- (508) 693-2198
- NPI assigned
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
52 Robinson Rd
Falmouth, MA 02540-3841
Phone (508) 627-2843
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240320002417 | MA | Practitioner - Mental Health Counselor | 8527418649 | Practice locations: Falmouth, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7688 | MA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7688 | MA | Yes |
Addresses
Primary practice location
15 Church St
Vineyard Haven, MA 02568-5483
Mailing address
PO Box 1003
West Tisbury, MA 02575-1003
Phone (508) 627-2843
Other providers in Vineyard Haven, MA
- Island Dentistry,P.C.
- Jane McNulty
- John Curelli
- Saundra Hart Johnson
- Catherine Keller
- Carolyn Jane Kildegaard
- Lydia Catherine Kingsbury
- Alexander Kisselgof
- April Knight
- Kathleen E Koehler
All providers in Vineyard Haven, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.