Active NPIIndividual providerSole proprietor

Mr. Kevin Keane, LPC, NCC

Counselor, Professional in Southbury, Connecticut

NPI Number1013049139
Practice location
150 Bridle Path RD, Southbury, CT 06488-2437
Fax
203-264-3096
Last updated
July 8, 2007

Kevin Keane is a Counselor, Professional based in Southbury, CT. Kevin Keane practices in Southbury, CT and has the professional credentials of LPC, NCC. The NPI Number for Kevin Keane is 1013049139 and holds a License No. 001458 (CT). The current practice location address for Kevin Keane is 150 Bridle Path RD, Southbury, CT 06488-2437 and can be reached out via phone at 203-264-3096 and via fax at 203-264-3096.

Provider Profile Details

NPI Number
1013049139
Provider Name
Kevin Keane
Credential
LPC, NCC
Provider Entity Type
Individual
Gender
Male
Address
150 Bridle Path RD, Southbury, CT 06488-2437
Phone Number
203-264-3096
Fax Number
203-264-3096
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
March 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Bridle Path RD
Southbury, CT 06488-2437
Zip
06488-2437
Phone Number
203-264-3096
Fax Number
203-264-3096
Southbury, CT 06488Get directions →

Provider Business Mailing Address Details

Address
150 Bridle Path RD
Southbury, CT 06488-2437
City
Southbury
State
CT
Zip
06488-2437
Phone Number
203-264-3096
Fax Number
203-264-3096

License Information

License Number
001458
License State
CT
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kevin Keane, LPC, NCC?

The NPI number of Mr. Kevin Keane, LPC, NCC is 1013049139. It was assigned on March 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Kevin Keane, LPC, NCC?

Mr. Kevin Keane, LPC, NCC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 001458.

Where does Mr. Kevin Keane, LPC, NCC practice?

The practice location is 150 Bridle Path RD, Southbury, CT 06488-2437. The office can be reached at 203-264-3096 (phone) or 203-264-3096 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013049139 directly on the NPPES registry website.

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