Misti Keen, LMHC, Cap Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH11871 Issued in FL

Legal business name

MISTI KEEN, LMHC, CAP INC

Practice address

105 Jazz Dr
Panama City, FL 32405-4906

Phone

(850) 522-9719

Fax

(850) 522-9718

NPI assigned

Nov 16, 2014

Organization subpart

No

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

Authorized official

Name

Misti D Keen, LMHC, CAP

Title

Owner

Phone

(850) 522-9719

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416096000000",
    "number": "1952707176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JAZZ DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054906",
            "telephone_number": "850-522-9719",
            "fax_number": "850-522-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JAZZ DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054906",
            "telephone_number": "850-522-9719",
            "fax_number": "850-522-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTI KEEN, LMHC, CAP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-16",
        "last_updated": "2014-11-16",
        "status": "A",
        "authorized_official_last_name": "KEEN",
        "authorized_official_first_name": "MISTI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-522-9719",
        "authorized_official_credential": "LMHC, CAP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH11871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Matters Therapeutic Services
• Mindrest Psychiatry
• Todd E. Minga, M.D.
• Carol S Mirus
• Misal Khan,M.D. FRCS(Ed) P.a.
• Ashlie N Mitchell
• Isaac L Mitchell, M.D.
• Melissa Mitchell
• Nancy Mitchell
• Sharon M Mitchell, RPH

• Community/Behavioral Health Agency in Panama City, FL
• Providers in Panama City, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2014; 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.