Demi Keitel, LPC, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C5592 Issued in OR

Practice address

3990 Pleasant View Dr NE
Keizer, OR 97303-4030

Phone

(503) 602-1007

Fax

(503) 994-1692

NPI assigned

Feb 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Portland Relationship Institute

  • Mental Health Counselor
  • Tigard, OR
  • NPI 1942619655

  Mental Health

  NPD

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1962036483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 PLEASANT VIEW DR NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034030",
            "telephone_number": "503-602-1007",
            "fax_number": "503-994-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 PLEASANT VIEW DR NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034030",
            "telephone_number": "503-602-1007",
            "fax_number": "503-994-1692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 SW Hampton St Ste 223",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972238364",
            "country_code": "US",
            "telephone_number": "503-342-2510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITEL",
        "first_name": "DEMI",
        "credential": "LPC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC6499",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan of the Northwest
• Julian Nicole Karter, PH.D.
• Megan Elizabeth Kauffman, NP
• Kathy Kay, COUNSELOR
• Marcey Lee Keefer Hutchison, PHYSICAL THERAPIST
• Keizer Campus Operations, LLC
• Keizer Care Properties, LLC
• Keizer Chiropractic Clinic PC
• Keizer Diabetes & Metabolism Clinic
• Keizer Family Dental Care

• All providers in Keizer, OR
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.