Active NPI
Colleen Marie Keegan
- Social Worker
- Pelham, NH
National Provider Identifier
1902256209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 16 Mount Vernon Dr
Pelham, NH 03076-2349 - Phone
- (603) 508-1026
- NPI assigned
- Jun 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
16 Mount Vernon Dr
Pelham, NH 03076-2349
Mailing address
16 Mount Vernon Dr
Pelham, NH 03076-2349
Phone (603) 508-1026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1902256209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MOUNT VERNON DR",
"city": "PELHAM",
"state": "NH",
"postal_code": "030762349",
"telephone_number": "603-508-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MOUNT VERNON DR",
"city": "PELHAM",
"state": "NH",
"postal_code": "030762349",
"telephone_number": "603-508-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEGAN",
"first_name": "COLLEEN",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pelham, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.