Keith Michael Walach, LPC, CAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC002699 Issued in PA

Practice address

2863 State Route 45 N
Rock Creek, OH 44084-9352

Phone

(800) 234-1001

Fax

(440) 563-9619

NPI assigned

Oct 17, 2006

Last updated

Jun 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Glenbeigh

  dba Glenbeigh Health Sources

  • Special Hospital
  • Rock Creek, OH
  • NPI 1790761922
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1952481269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "ROCK CREEK",
            "state": "OH",
            "postal_code": "440840298",
            "telephone_number": "800-234-1001",
            "fax_number": "814-451-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 STATE ROUTE 45 N",
            "city": "ROCK CREEK",
            "state": "OH",
            "postal_code": "440849352",
            "telephone_number": "800-234-1001",
            "fax_number": "440-563-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALACH",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPC, CAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK ID",
            "identifier": "001450499",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Lou Snook Johnston
• Philip Tomko, BA, CAMS-II, CDCA
• Brian David Turk, MSSA, LISA, LICDC
• University Hospital Medical Group, Inc.
• Joseph Vaughn
• Michelle Evette White
• Michael Wilhelm, CDCA
• Stevie Allison Williamson, LPC
• Tamela Wise, LPN
• Dalton Witt, CDCA

• Professional Counselor in Rock Creek, OH
• Providers in Rock Creek, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.