Individual provider Active NPI

Mary Ellen Keyt, LMHC

  • Mental Health Counselor
  • Greenville, FL
National Provider Identifier
1992001697
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 8333 Issued in FL
Practice address
950 SW Greenville Hills Rd
Greenville, FL 32331-3108
Phone
(850) 948-4220
Fax
(850) 948-4427
NPI assigned
Jan 28, 2011
Last updated
Jan 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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 MH 8333 FL Primary

Addresses

Primary practice location

950 SW Greenville Hills Rd
Greenville, FL 32331-3108

Mailing address

5712 Emma LN
Tallahassee, FL 32317-1441
Phone (850) 545-0142

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
MH 8333FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Joann Bridges Academy Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1992001697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 EMMA LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323171441",
            "telephone_number": "850-545-0142",
            "fax_number": "850-948-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SW GREENVILLE HILLS RD",
            "city": "GREENVILLE",
            "state": "FL",
            "postal_code": "323313108",
            "telephone_number": "850-948-4220",
            "fax_number": "850-948-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYT",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 8333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.