Mikaela Keeney

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

555 Fairview Dr
Rochelle, IL 61068-2310

Phone

(815) 561-9003

NPI assigned

Jan 11, 2020

Last updated

Jan 11, 2020By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1578700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578700800000",
    "number": "1962042564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 CHANDLER CT",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605021315",
            "telephone_number": "305-612-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FAIRVIEW DR",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610682310",
            "telephone_number": "815-561-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENEY",
        "first_name": "MIKAELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-11",
        "last_updated": "2020-01-11",
        "certification_date": "2020-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roopa Kala Karri, M.D.
• Jillian Renea Kaskavage, M.D.
• Britney Keehler
• Tim Ryan Keehler, RSA
• Wanda Gay Keehler
• Rachel Kennedy
• Jasmine N Kerley, COTA
• Riazulla Khan
• Jessica Kiekens, MSW
• Kent J Kjellstrom, MPT

• Mental Health Counselor in Rochelle, IL
• Providers in Rochelle, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; 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.