Individual provider Active NPI

Kate A Keelty, LMHC, CCC-SLP

  • Mental Health Counselor
  • Middletown, RI
National Provider Identifier
1922207646
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
575 East Main Rd
Middletown, RI 02842
Phone
(401) 344-9027
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP01353 RI
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

575 East Main Rd
Middletown, RI 02842

Mailing address

444 Water St
Portsmouth, RI 02871
Phone (401) 344-9027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20240327003840 RI Practitioner - Mental Health Counselor 9133566938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

575 E Main Rd
Unit 3a
Middletown, RI 02842-5288
Phone (401) 344-9027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP01353RIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Counseling Services, LLC Mental Health CurrentSince Jan 14, 2024 Accepting new patients

Locations

575 E Main Rd
Unit 3A
Middletown, RI 02842
Phone (401) 344-4683

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1922207646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 WATER ST",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "02871",
            "telephone_number": "401-344-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 EAST MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "02842",
            "telephone_number": "401-344-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELTY",
        "first_name": "KATE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMHC, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP01353",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

Verify at the official NPI Registry.