Individual provider Active NPI

Susan E Keeley, LCSW

  • Mental Health Counselor
  • Hayden, ID
National Provider Identifier
1902098643
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW-30184 Issued in ID
Practice address
8944 N Hess St Ste B
Hayden, ID 83835-9183
Phone
(208) 755-7370
Fax
(208) 545-8838
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW-30184 ID Primary

Addresses

Primary practice location

8944 N Hess St Ste B
Hayden, ID 83835-9183

Mailing address

PO Box 367
Hayden, ID 83835-0367
Phone (208) 755-7370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20110318000461 ID Practitioner - Clinical Social Worker 0042493629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8944 N Hess St
Suite B
Hayden, ID 83835-9183
Phone (208) 755-7370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Keeley Counseling Services, PC Mental Health CurrentSince May 14, 2003 Accepting new patients

Locations

2005 N Ironwood Pkwy
Ste 210
Coeur D Alene, ID 83814
Phone (208) 755-7370

2005 N Ironwood Pkwy
Ste 226
Coeur D Alene, ID 83814
Phone (208) 661-1495

1042 W Mill Ave
Ste 205
Coeur D Alene, ID 83814
Phone (208) 699-9065

8944 N Hess St
#B
Hayden, ID 83835
Phone (208) 762-0251

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1902098643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838350367",
            "telephone_number": "208-755-7370",
            "fax_number": "208-545-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8944 N HESS ST STE B",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359183",
            "telephone_number": "208-755-7370",
            "fax_number": "208-545-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEY",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCSW-30184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

Verify at the official NPI Registry.