Active NPIIndividual providerSole proprietor

Patrick Keenan, NCC, LPC

Counselor, Professional in Seymour, Connecticut

NPI Number1053746784
Practice location
115 Main St Ste 10, Seymour, CT 06483-3138
Fax
833-216-0470
Last updated
March 14, 2019

Patrick Keenan is a Counselor, Professional based in Seymour, CT. Patrick Keenan practices in Seymour, CT and has the professional credentials of NCC, LPC. The NPI Number for Patrick Keenan is 1053746784 and holds a License No. 003163 (CT). The current practice location address for Patrick Keenan is 115 Main St Ste 10, Seymour, CT 06483-3138 and can be reached out via phone at 203-231-1965 and via fax at 833-216-0470.

Provider Profile Details

NPI Number
1053746784
Provider Name
Patrick Keenan
Credential
NCC, LPC
Provider Entity Type
Individual
Gender
Male
Address
115 Main St Ste 10, Seymour, CT 06483-3138
Phone Number
203-231-1965
Fax Number
833-216-0470
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
September 12, 2013
Last Update Date
March 14, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Main St Ste 10
Seymour, CT 06483-3138
Zip
06483-3138
Phone Number
203-231-1965
Fax Number
833-216-0470
Seymour, CT 06483Get directions →

Provider Business Mailing Address Details

Address
115 Main St Ste 10
Seymour, CT 06483-3138
City
Seymour
State
CT
Zip
06483-3138
Phone Number
203-231-1965
Fax Number
833-216-0470

License Information

License Number
003163
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 Patrick Keenan, NCC, LPC?

The NPI number of Patrick Keenan, NCC, LPC is 1053746784. It was assigned on September 12, 2013 and is currently active in the NPPES registry.

What is the specialty of Patrick Keenan, NCC, LPC?

Patrick Keenan, NCC, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 003163.

Where does Patrick Keenan, NCC, LPC practice?

The practice location is 115 Main St Ste 10, Seymour, CT 06483-3138. The office can be reached at 203-231-1965 (phone) or 833-216-0470 (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 1053746784 directly on the NPPES registry website.

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