Roy Edward Keckler Sr., LSW, CDCA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2207526 Issued in OH

Practice address

6 Public SQ
Galion, OH 44833-1926

Phone

(567) 560-3583

NPI assigned

Jul 24, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Life Counseling & Psychiatric Services

  • Addiction (Substance Use Disorder) Counselor
  • Mansfield, OH
  • NPI 1669731246
  NPD (past)

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1871070714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PUBLIC SQ",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448331926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PUBLIC SQ",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448331926",
            "telephone_number": "567-560-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECKLER",
        "first_name": "ROY",
        "middle_name": "EDWARD",
        "name_suffix": "Sr.",
        "credential": "LSW, CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "CDCA165601",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2207526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Jennings
• Haley Danielle Kamenik, PA-C
• Chad Karnes
• John Ray Kashubeck, MD
• Tamara Keaton
• Natalie Marie Keinath, LPN
• Amy Lynn Keller
• Jacqueline Rene Kempf
• James R Kerbs, MD
• Jacob Kessler, CNP

• Social Worker in Galion, OH
• Providers in Galion, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.