Justin Keeney, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2303315-SUPV Issued in OH

Practice address

107 Tommy Henrich Dr NW
Massillon, OH 44647-5402

Phone

(330) 832-9582

Fax

(330) 833-7732

NPI assigned

Apr 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Midwest Health Services, Inc.

  • Community/Behavioral Health Agency
  • Massillon, OH
  • NPI 1629761408
  Medicare reassignment NPD
• Azalea Institute-Center for MFT & LPC Advancement, LLC

  • Professional Counselor
  • Cuyahoga Falls, OH
  • NPI 1205395605
  NPD (past)

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1891358487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TOMMY HENRICH DR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446475402",
            "telephone_number": "330-832-9582",
            "fax_number": "330-833-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TOMMY HENRICH DR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446475402",
            "telephone_number": "330-832-9582",
            "fax_number": "330-833-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENEY",
        "first_name": "JUSTIN",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303315-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0354586",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy J Kazakis, R.D.L.D.
• Rita R. Kazlauskas, M.D.
• KC Health Services Inc
• Nicholaus M Keaton, CDCA
• Saphire Keen
• Shanika Ann Kelly
• Wendy Michelle Kelly
• Angel Kemp
• Tracy Kendall, RPH
• Kelly Kennard, LPC, MFT

• Professional Counselor in Massillon, OH
• Providers in Massillon, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.