Edith Cowan Keesecker, LCMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16393 Issued in NC

Practice address

2407 Grace Ave # 20
New Bern, NC 28562-4416

Phone

(252) 670-5637

NPI assigned

Mar 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1891380119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 NC HIGHWAY 306 N",
            "city": "GRANTSBORO",
            "state": "NC",
            "postal_code": "285295873",
            "telephone_number": "304-997-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 GRACE AVE # 20",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624416",
            "telephone_number": "252-670-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESECKER",
        "first_name": "EDITH",
        "middle_name": "COWAN",
        "credential": "LCMHC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akil Serdar Kavcar, MD
• Alissa A Kay, LCMHCA
• Dyquan Kearney
• Kimberly Keehn
• Sara Keenan, OTR/L
• Stephanie Alexandra Keller, MD
• Ross Kellogg, LMFTA
• Colleen Lora Jaimie Kelly, PA-C
• Jennifer Lea Kelly, OT/L
• Nicole R Kelly, NP

• Mental Health Counselor in New Bern, NC
• Providers in New Bern, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.