Individual provider Active NPI

Jamie Em Keeton

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1982125852
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11199 Issued in NE
Practice address
1610 S 70TH St Ste 101
Lincoln, NE 68506-1565
Phone
(402) 219-9904
NPI assigned
Jun 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11199 NE Primary

Addresses

Primary practice location

1610 S 70TH St Ste 101
Lincoln, NE 68506-1565

Mailing address

1610 S 70TH St Ste 101
Lincoln, NE 68506-1565

Other practice location 1

1500 U St
Lincoln, NE 68588-1281
Phone (402) 472-5000

Other names 1

  • Jamie Em Porter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11199NEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1982125852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 S 70TH ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 S 70TH ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061565",
            "telephone_number": "402-219-9904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 U St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685881281",
            "country_code": "US",
            "telephone_number": "402-472-5000",
            "fax_number": "402-472-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEETON",
        "first_name": "JAMIE",
        "middle_name": "EM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "PORTER",
            "middle_name": "EM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.