Organization Active NPI

Keyes Counseling & Consulting, LLC

  • Counselor
  • Vernon Rockville, CT
National Provider Identifier
1952840779
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3102 Issued in CT
Legal business name
KEYES COUNSELING & CONSULTING, LLC
Practice address
281 Hartford Tpke
Suite #104
Vernon Rockville, CT 06066-4784
Phone
(860) 474-0630
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Devin Keyes, LPCNPI 1467991281
Title
Owner
Phone
(860) 474-0630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 3102 CT Primary

Addresses

Primary practice location

281 Hartford Tpke
Suite #104
Vernon Rockville, CT 06066-4784

Mailing address

281 Hartford Tpke
Suite #104
Vernon Rockville, CT 06066-4784
Phone (860) 474-0630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241104001223 CT Part B Supplier - Clinic/Group Practice 2264965870 Receives reassigned benefits from 1 practitioner
Practice locations: Vernon, CT

National Provider Directory

National Provider Directory

Locations

281 Hartford Tpke
Ste 104
Vernon Rockville, CT 06066
Phone (860) 248-6284

281 Hartford Tpke
Ste 208
Vernon Rockville, CT 06066
Phone (860) 503-9635

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1952840779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE",
            "address_2": "SUITE #104",
            "city": "VERNON ROCKVILLE",
            "state": "CT",
            "postal_code": "060664784",
            "telephone_number": "860-474-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE",
            "address_2": "SUITE #104",
            "city": "VERNON ROCKVILLE",
            "state": "CT",
            "postal_code": "060664784",
            "telephone_number": "860-474-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYES COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "KEYES",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-474-0630",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "CT",
            "license": "3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Rockville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.