MRS. MARY KATHLEEN KEENAN (NPI# 1699850420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699850420 |
| Entity Type | Individual |
| Full Name | MRS. MARY KATHLEEN KEENAN |
| Credential | LPC |
| Practice Address |
10470 Armstrong St Fairfax VA 22030-3648 |
| Mailing Address |
11518 Clara Barton Dr Fairfax Station VA 22039-1334 |
| Practice Telephone | 7033857575 |
| Practice Fax Number | 7033857578 |
| Mailing Telephone | 7032504302 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701003305 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194926584 | Mary Katherine Keenan | Speech-Language Pathologist | 11574 Longview, Olathe, KS 66061-5678 | 2007-05-31 |
| 1356408447 | Mary Claire Keenan | Social Worker | 30 Burcam Dr, Madison, CT 06443-2242 | 2007-01-02 |
| 1245599356 | Mary Keenan | Technician/Technologist | 681 Tremont St, Boston, MA 02118-1281 | 2012-05-09 |
| 1356613012 | Mary Kathryn Keenan | Physician Assistant | 3701 Lafayette Rd, Evansdale, IA 50707-1129 | 2012-01-27 |
| 1053488262 | Mary Josephine Keenan | Social Worker | 71 Walnut Blvd, Suite #109, Rochester, MI 48307-2073 | 2006-11-30 |
| 1801834452 | Mary Kimble Keenan | Psychologist | 7511 New Lagrange Rd, Louisville, KY 40222-4859 | 2006-06-04 |
| 1063477719 | Mary Bridget Keenan | Social Worker | 150 N Main St, Suite 130, Manchester, CT 06042-2086 | 2006-04-18 |
| Street Address |
10470 ARMSTRONG ST |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568558450 | Laurie Lerner Rosen | Social Worker | 10470 Armstrong St, Counseling Center of Fairfax, Fairfax, VA 22030-3648 | 2006-10-05 |
| 1366679755 | Carol A. Hawker | Counselor | 10470 Armstrong St, Fairfax, VA 22030-3648 | 2009-06-12 |
| 1598970204 | Matthew Dean | Counselor | 10470 Armstrong St, Fairfax, VA 22030-3648 | 2007-05-14 |
| 1669687380 | Dean Consulting, Inc | Counselor | 10470 Armstrong St, Fairfax, VA 22030-3648 | 2007-05-14 |
| 1558499418 | Joan M Nelson | Social Worker | 10470 Armstrong St, Fairfax, VA 22030-3648 | 2007-03-01 |
| 1356476915 | Karen Ann Bergin | Social Worker | 10470 Armstrong St, Fairfax, VA 22030-3648 | 2007-02-23 |
| 1518048958 | Terri R. Adams | Social Worker | 10470 Armstrong St, Fairfax, VA 22030-3648 | 2006-10-18 |
| 1780773754 | Elizabeth Lathrop Finch | Psychiatry & Neurology | 10470 Armstrong St, Fairfax, VA 22030-3648 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689401 | Ann Marie Miller | Counselor | 3600 Chain Bridge Rd Ste 200, Fairfax, VA 22030-3326 | 2020-08-13 |
| 1962046995 | Rebekah Stone | Counselor | 8221 Willow Oaks Corporate Dr Ste 430, Fairfax, VA 22031-4512 | 2019-11-02 |
| 1972153831 | Nichelle Arnette Staten | Counselor | 8221 Willow Oaks Corporate Dr # Ll-225, Fairfax, VA 22031-4512 | 2019-09-12 |
| 1710451505 | Chela Clark | Counselor | 8221 Willow Oaks Corporate Dr Ste 1, Fairfax, VA 22031-4512 | 2019-01-15 |
| 1386117026 | Andrea Nunes-gardner | Counselor | 10560 Main St Ph 4, Fairfax, VA 22030-7182 | 2019-01-04 |
| 1164990974 | Takhyun Cho | Counselor | 10560 Main St Ste 508, Fairfax, VA 22030-7173 | 2018-11-09 |
| 1457831364 | Tara Danielle Soligan | Counselor | 4023 Chain Bridge Rd Ste 7, Fairfax, VA 22030-4121 | 2018-08-20 |
| 1043718091 | Tatyana V Cottle | Counselor | 3509 Queen Anne Dr, Fairfax, VA 22030-1830 | 2018-01-24 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| 1396250882 | Megan B Miller | Counselor | 8221 Willow Oaks Corporate Dr Ste 2east, Fairfax, VA 22031-4512 | 2017-12-06 |
| Find all providers in FAIRFAX | ||||
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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.