JENNIFER ARCHER KEELY (NPI# 1700156551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700156551 |
| Entity Type | Individual |
| Full Name | JENNIFER ARCHER KEELY |
| Credential | MA, LMFT, LCAS |
| Practice Address |
101 Colvard St Jefferson NC 28640-9797 |
| Mailing Address |
284 Executive Park Drive Suite 100 Concord NC 28025-1894 |
| Practice Telephone | 3362462109 |
| Practice Fax Number | 3362462287 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2017-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-3211 | NC | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 1609 | NC | Behavioral Health & Social Service Providers |
| Street Address |
101 COLVARD ST |
| City | JEFFERSON |
| State | NC |
| Zip Code | 28640-9797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275500761 | Paige A Stephens | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2006-03-02 |
| 1194360925 | Willow Green Portela | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2019-11-15 |
| 1477034791 | Robin Jones | Clinical Nurse Specialist | 101 Colvard St, Jefferson, NC 28640 | 2018-08-24 |
| 1700329042 | Richard Allen Bare | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2016-11-18 |
| 1851847511 | Courtney Camp Benson | Counselor | 101 Colvard St, Jefferson, NC 28640 | 2016-08-31 |
| 1699042986 | Daymark Recovery Service Inc | Counselor | 101 Colvard St, Unit 1, Jefferson, NC 28640-9797 | 2011-11-30 |
| 1720364250 | Daymark Recovery Services Inc | Counselor | 101 Colvard St, Unit 1, Jefferson, NC 28640-9797 | 2011-10-28 |
| 1669638599 | Ashley Wayne Harris | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2008-07-30 |
| 1194917823 | Jonna M. Mcgarity | Social Worker | 101 Colvard St, Unit 2, Jefferson, NC 28640-9797 | 2007-08-16 |
| 1659414449 | Marian J. Peters | Physician Assistant | 101 Colvard St, Jefferson, NC 28640-9797 | 2007-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1902466543 | Emily Claire Wilson | Physical Therapist | 419 East Main Street Unit 4, Jefferson, NC 28640 | 2019-06-17 |
| 1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
| 1659859247 | Molly Reynolds | Physical Therapist | 419 E. Main St. Unit 4, Jefferson, NC 28640 | 2018-08-06 |
| 1548644040 | Amanda Stroud | Dentist | 225 Court Street, Jefferson, NC 28640 | 2015-07-14 |
| 1710388772 | Schuster Physical Therapy Inc. | Clinic/Center | 419 E. Main St., Jefferson, NC 28640 | 2014-09-09 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1093029498 | Robin Arlene Edwards | Nurse Practitioner | 151 Medical Park Dr., Jefferson, NC 28640 | 2010-07-28 |
| 1659516979 | Patricia Ann Franklin | Physical Therapist | 125 Colvard Farm Rd, Unit 7, Jefferson, NC 28640 | 2008-12-16 |
| 1730363342 | Ashe County Public Schools | Local Education Agency (LEA) | 320 South Street, Jefferson, NC 28640 | 2007-12-19 |
| Find all providers in zip 28640 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710332580 | Holly Alice Skretta | Marriage & Family Therapist | 415 N Stevens Ave, Jefferson, WI 53549-1312 | 2016-04-29 |
| 1083903140 | Private Victories Counseling Services, LLC | Marriage & Family Therapist | 115 East Lincolnway, Suite 340, Jefferson, IA 50129 | 2011-03-29 |
| 1679780068 | Steven R. Heath | Marriage & Family Therapist | 145 Maplewood Dr, Jefferson, OH 44047-1420 | 2007-05-17 |
| 1487195186 | Vicky Hooi | Marriage & Family Therapist | 216 N Wilson Ave, Jefferson, IA 50129-1923 | 2017-03-14 |
| 1568782092 | Leigh Richardson Hurley | Marriage & Family Therapist | 4728 Jefferson Hwy, Jefferson, LA 70121-3125 | 2010-06-07 |
| 1447459581 | Nicholas Ben Licata | Marriage & Family Therapist | 4728 Jefferson Hwy, Jefferson, LA 70121-3125 | 2007-07-17 |
| 1699809681 | Alisa A Morgan | Marriage & Family Therapist | 221 West Main Street, Jefferson, NC 28640-9723 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841491 | Emily Brokaw | Marriage & Family Therapist | 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 | 2020-11-05 |
| 1942809926 | Anna K Wallace | Marriage & Family Therapist | 2235 Locksley Woods Dr Apt E, Greenville, NC 27858-5461 | 2020-10-21 |
| 1053918961 | Tiana C Lanier-cherry | Marriage & Family Therapist | 628 Preston Grove Ave, Cary, NC 27513-8464 | 2020-10-04 |
| 1043826589 | Lauren Stiegler | Marriage & Family Therapist | 931 Haybeck Ln, Apex, NC 27523-6192 | 2020-09-21 |
| 1588279889 | Deborah Bell | Marriage & Family Therapist | 119 Sw Maynard Rd, Cary, NC 27511-4472 | 2020-09-14 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1467066753 | Geo'quana W Mcdougal | Marriage & Family Therapist | 1140 Kildaire Farm Rd Ste 304, Cary, NC 27511-7600 | 2020-09-03 |
| 1689286338 | Dina Rose Velazquez | Marriage & Family Therapist | 500 Lemon Pepper Pl, Wendell, NC 27591-8948 | 2020-08-23 |
| 1023631959 | Carolyn Neese | Marriage & Family Therapist | 4102 N Main St, High Point, NC 27265-1132 | 2020-05-27 |
| 1215550074 | Tiffany Guy | Marriage & Family Therapist | 4219 Springhaven Dr, Charlotte, NC 28269-1629 | 2020-05-27 |
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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.