Christina Keim, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005902 Issued in NY

Practice address

7663 E Port Bay Rd
Wolcott, NY 14590-9516

Phone

(315) 398-4681

Fax

(866) 686-5366

NPI assigned

May 23, 2011

Last updated

Oct 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1952694069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7663 E PORT BAY RD",
            "city": "WOLCOTT",
            "state": "NY",
            "postal_code": "145909516",
            "telephone_number": "315-398-4681",
            "fax_number": "866-686-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7663 E PORT BAY RD",
            "city": "WOLCOTT",
            "state": "NY",
            "postal_code": "145909516",
            "telephone_number": "315-398-4681",
            "fax_number": "866-686-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIM",
        "first_name": "CHRISTINA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Hale, R.PH.
• Amber Higgins, FNP-BC
• Jill A Hopkins, NP
• Lisa Kathryn Humbert, RN
• Kim M Jablonski, PT
• April L Kellogg
• Ashley Kennedy
• Brunilda Kolaj, MD
• Lakeshore Volunteer Ambulance Inc
• Casen Lange, RN

• Mental Health Counselor in Wolcott, NY
• Providers in Wolcott, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.