Active NPI
Brianne Keenan, LGPC
- Professional Counselor
- Westminster, MD
National Provider Identifier
1942980834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP14020
- Practice address
- 59 Kate Wagner Rd
Westminster, MD 21157-6957 - Phone
- (410) 858-2500
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP14020 | MD | Primary |
Addresses
Primary practice location
59 Kate Wagner Rd
Westminster, MD 21157-6957
Mailing address
6104 Oak Hill Dr
Eldersburg, MD 21784-6749
Phone (443) 223-2144
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP14020 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carroll County Youth Service Bureau, Inc. | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westminster, MD
- NPI 1710042924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1942980834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6104 OAK HILL DR",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846749",
"telephone_number": "443-223-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 KATE WAGNER RD",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576957",
"telephone_number": "410-858-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENAN",
"first_name": "BRIANNE",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP14020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.