Kelly L Weir Keohan, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000659 Issued in NY

Practice address

2280 Western Ave
Guilderland, NY 12084-9206

Phone

(518) 456-5056

Fax

(518) 456-6512

NPI assigned

Jun 9, 2009

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

Other names 1

• Kellly Weir Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Karner Psychological Associates PC

  • Psychologist
  • Guilderland, NY
  • NPI 1619913258
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1992931604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 CHARLESTON ST",
            "city": "ESPERANCE",
            "state": "NY",
            "postal_code": "120663226",
            "telephone_number": "518-366-2471",
            "fax_number": "518-456-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 WESTERN AVE",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120849206",
            "telephone_number": "518-456-5056",
            "fax_number": "518-456-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR KEOHAN",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLLY",
            "last_name": "WEIR",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Guilderland, NY
• Providers in Guilderland, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.