KEITH KELLER (NPI# 1366834251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366834251 |
| Entity Type | Individual |
| Full Name | KEITH KELLER |
| Credential | L.M.S.W |
| Practice Address |
928 Main St Keokuk IA 52632-4655 |
| Practice Telephone | 3195244397 |
| Mailing Telephone | 3195244397 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
075011 | IA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
075011 | IA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 075011 | IA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 075011 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477843282 | Keith Lincoln Keller | Family Medicine | Ihs Pine Ridge Service Unit, Hwy 18, Pine Ridge, SD 57770 | 2011-04-13 |
| 1700179710 | Keith Cyrus Keller | Dentist | 4010 82nd St, Elmhurst, NY 11373-1305 | 2011-05-24 |
| Street Address |
928 MAIN ST |
| City | KEOKUK |
| State | IA |
| Zip Code | 52632-4655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386810646 | Alcohol & Drug Dependency Services | Substance Abuse Rehabilitation Facility | 928 Main St, Keokuk, IA 52632-4655 | 2008-05-06 |
| 1396272209 | Tiffanie M West-bennett | Counselor | 928 Main St, Keokuk, IA 52632-4655 | 2017-05-23 |
| 1801268107 | Kim Vandevoort | Counselor | 928 Main St, Keokuk, IA 52632-4655 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265911721 | Eugenia Kay Petersen | Speech-Language Pathologist | 20 Village Circle, Keokuk Iowa, Keokuk, IA 52632 | 2018-08-07 |
| 1578984902 | Cody Kite-warth | Physical Therapy Assistant | 20 Village Circly, Keokuk, IA 52632 | 2014-01-03 |
| 1801228234 | Nicole Fett | Occupational Therapy Assistant | 20 Village Circle, Keokuk, IA 52632 | 2013-08-08 |
| 1033437140 | Teresa Dale Schenck | Nurse Practitioner | 400 N. 17th St, Teresa Schenck Dnp, Keokuk, IA 52632 | 2010-05-13 |
| 1225241052 | Kenneth Blaine Messer | Dentist | 1624 Morgan Street, Keokuk, IA 52632 | 2007-05-08 |
| 1417011024 | Donald Loren Steingreaber | Dentist | 307 N 17th, Keokuk, IA 52632 | 2006-12-20 |
| 1265501316 | John A Wilde | Dentist | 1626 Morgan St, Suite 3, Keokuk, IA 52632 | 2006-11-06 |
| 1639250293 | Charles F Eddingfield Md | General Practice | 1610 Morgan Street, Keokuk, IA 52632 | 2006-10-18 |
| 1861582835 | Nick John Daskalos | Dentist | 28 N 4th St, Keokuk, IA 52632 | 2006-10-13 |
| 1831209683 | Edward Martin Mcgreevey | Dentist | 1624 Morgan St, Keokuk, IA 52632 | 2006-08-30 |
| Find all providers in zip 52632 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760656870 | Frank Jason Blickhan | Counselor | 1001 Blondeau St, Keokuk, IA 52632-4721 | 2008-04-18 |
| 1396272209 | Tiffanie M West-bennett | Counselor | 928 Main St, Keokuk, IA 52632-4655 | 2017-05-23 |
| 1801268107 | Kim Vandevoort | Counselor | 928 Main St, Keokuk, IA 52632-4655 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823339 | Julie Jorstad | Counselor | 505 5th St Ste 700, Sioux City, IA 51101-1509 | 2020-08-26 |
| 1871102319 | Jon P Muller | Counselor | 415 N Niagara St, Maquoketa, IA 52060-2218 | 2020-07-30 |
| 1669081568 | Jennie Ann Mier | Counselor | 900 N 2nd St Ste 2, Cherokee, IA 51012-1373 | 2020-07-27 |
| 1194349118 | Tammy M Holmstrom | Counselor | 1100 Bank St, Webster City, IA 50595-1906 | 2020-06-05 |
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1700418571 | Daniel Ryan Chute | Counselor | 317 7th Ave Se # 203, Cedar Rapids, IA 52401-2007 | 2020-02-10 |
| 1154968535 | Shannon Deann Stewart | Counselor | 813 N Lincoln St Ste 9, Knoxville, IA 50138-1421 | 2019-12-05 |
| 1194361758 | Kelly Jean Saul | Counselor | 250 20th Ave N, Clinton, IA 52732-2503 | 2019-11-19 |
| 1326689530 | Rachel Anne Nauman | Counselor | 3023 Stellar Eagle Dr, Dubuque, IA 52001-8646 | 2019-09-30 |
| 1730734187 | Tiffany E Heth | Counselor | 1555 Se Delaware Ave Ste M, Ankeny, IA 50021-4011 | 2019-08-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.