MICHAEL KEENAN (NPI# 1417428178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417428178 |
| Entity Type | Individual |
| Full Name | MICHAEL KEENAN |
| Credential | LSUDC |
| Practice Address |
1223 S 1280 E Saint George UT 84790-8553 |
| Practice Telephone | 4356801459 |
| Mailing Telephone | 4356801459 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| 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) |
5649814-6006 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720513153 | Michael P Keenan | Health Educator | 93 Atlantic Ave, Manasquan, NJ 08736 | 2017-04-24 |
| 1457498578 | Michael J. Keenan | Psychologist | 307 Gessner Rd, Houston, TX 77024-6116 | 2007-01-30 |
| 1760430102 | Michael Eugene Keenan | Internal Medicine | 1776 Boston Tpke, Coventry, CT 06238-1160 | 2006-05-05 |
| 1669446795 | Michael Jay Keenan | Chiropractor | 3388 Woods Edge Cir, Suite 102, Bonita Springs, FL 34134-1368 | 2006-02-15 |
| 1386178770 | Michael Paul Keenan | Student in an Organized Health Care Education/Training Program | 100 High St, Dept of Em (d-6) At Bgmc, Buffalo, NY 14203-1126 | 2017-04-12 |
| 1831546308 | Michael Keenan | Marriage & Family Therapist | 27 E Victoria St, Suite C, Santa Barbara, CA 93101-2619 | 2016-05-15 |
| 1679719645 | Michael Paul Keenan | Physical Therapist | 2129 W Oregon Ave, 3rd Floor, Philadelphia, PA 19145-4131 | 2008-12-22 |
| 1861660615 | Michael C Keenan | Pharmacist | 2506 Knights Rd, Bensalem, PA 19020-3400 | 2008-02-14 |
| 1851432454 | Michael Patrick Keenan | Dentist | 6565 S Yale Ave, Suite 1105, Tulsa, OK 74136-8378 | 2007-02-08 |
| 1619049087 | Michael Keenan | Chiropractor | 1086 Teaneck Rd, Suite 4a, Teaneck, NJ 07666-4854 | 2006-11-14 |
| Street Address |
1223 S 1280 E |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84790-8553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720119167 | Mark Clark | Counselor | 1366 W Indian Hills Dr Unit 69, Saint George, UT 84770-1885 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565803 | Nathaniel A Moore | Counselor | 11764 West Aspen Lane, Loa, UT 84747 | 2020-10-09 |
| 1235751587 | Clara Sobral Hinckley | Counselor | 975 S 250 W Apt A, Provo, UT 84601-5991 | 2020-05-09 |
| 1487275855 | Norman Van Bray | Counselor | 260 W North Lane, Holden, UT 84636 | 2020-04-27 |
| 1972133783 | Aspire365, LLC | Counselor | 772 E 8230 S, Sandy, UT 84094-0679 | 2020-01-21 |
| 1851939011 | Shaunell Young | Counselor | 2264 N 2650 E, 2264 N 2650 E, Layton, UT 84040 | 2019-12-18 |
| 1679120729 | Kristen E Tolman | Counselor | 506 Harvest Moon Dr, Pleasant Grove, UT 84062-3663 | 2019-08-23 |
| 1134788060 | Isaac Curtis | Counselor | 523 Heritage Park Blvd Ste 4, Layton, UT 84041-5611 | 2019-06-13 |
| 1689231094 | Chasity Edwards | Counselor | 491 E Riverside Dr Ste 1a, St George, UT 84790-7052 | 2019-05-21 |
| 1841855632 | Kathy Rekoutis | Counselor | 1397 W 8660 S, West Jordan, UT 84088-9115 | 2019-05-07 |
| 1740845858 | Debra Drabner | Counselor | 164 E 5900 S Ste A101, Murray, UT 84107-7279 | 2019-05-03 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84790 |
Please comment or provide details below to improve the information on MICHAEL KEENAN.
| 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.