KEITH ENNIS


Address: 13 Temple St, Quincy, MA 02169-5110
Phone: 6174718400

KEITH ENNIS (NPI# 1609203421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609203421
Entity Type Individual
Full Name KEITH ENNIS
Practice Address 13 Temple St
Quincy
MA 02169-5110
Mailing Address 15 Cedar St
Kingston
MA 02364-1618
Practice Telephone 6174718400
Mailing Telephone 8579398191
Enumeration Date 2013-10-11
Last Update Date 2013-10-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor MA Behavioral Health & Social Service Providers

Other Providers KEITH ENNIS

NPI Name Taxonomy Address Enumeration
1356714430 Keith Mcpherson Ennis Counselor 3636 N 1st St Ste 135&154, Fresno, CA 93726-6800 2015-11-11
1033292628 Keith Ennis Family Medicine 1907 W Sycamore St, Kokomo, IN 46901-5148 2006-10-24

Office Location

Street Address 13 TEMPLE ST
City QUINCY
State MA
Zip Code 02169-5110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710044870 Virginia Montenegro Hadley Counselor 13 Temple St, Quincy, MA 02169-5110 2007-01-01
1265862684 David Carpenter Counselor 13 Temple St, Quincy, MA 02169-5110 2013-11-21
1013344597 Christopher C Coan Counselor 13 Temple St, Quincy, MA 02169-5110 2013-09-30
1578998506 Emily Lynne Brown Counselor 13 Temple St, Quincy, MA 02169-5110 2013-09-10
1770915365 Steven Raymond Somers Jr. Counselor 13 Temple St, Quincy, MA 02169-5110 2013-08-06
1275965857 Michael Kenneth Mc Neil Counselor 13 Temple St, 2nd Floorr, Quincy, MA 02169-5110 2013-08-06
1871932087 Kevin Clary Bolster Counselor 13 Temple St, Quincy, MA 02169-5110 2013-06-20
1023457660 Julie Jasper Clancy Counselor 13 Temple St, Quincy, MA 02169-5110 2013-06-17
1316384142 Joleen Payeur Olsen Counselor 13 Temple St, Quincy, MA 02169-5110 2013-06-03
1275970006 Jennifer E Dimauro Counselor 13 Temple St, Quincy, MA 02169-5110 2013-06-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902427933 Trinasia Jones Counselor 80 Quarry Street, 3, Quincy, MA 02169 2020-04-30
1164060778 Bid-milton Physician Associates Inc Clinic/Center 100 Walter J. Hannon Pkwy, Quincy, MA 02169 2019-12-13
1669028064 Renee Yvette Belisle Occupational Therapist 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 2019-08-13
1952953713 Phuc Thi Diem Ho Registered Nurse 18 Rustic Place, Quincy, MA 02169 2019-07-11
1518451939 Lucille Jordan Social Worker 1175 Sea St, Quincy, MA 02169 2018-06-19
1326567447 Tara Barney Counselor 290 Quarry Street Apt. 112, Quincy, MA 02169 2017-09-11
1295251007 Iona Dental, P.C. (parent Organization) Dentist 10 Granite Street, Unit - 4c, Quincy, MA 02169 2017-08-15
1730610247 Amy S. Chung Family Medicine 100 Walter J. Hannon Parkway, Quincy, MA 02169 2017-03-26
1205377314 Wing Man Ting Counselor 2 Moon Island Road, Quincy, MA 02169 2017-03-09
1740726223 Cameron James Dumas Pharmacist 21 23 Stanhope Street, Boston, MA 02169 2017-01-09
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396389920 Agnes L Denson Counselor 66 Kenon Ln, Quincy, FL 32352-6924 2019-11-06
1174166532 Jennifer Johnson Counselor 4355 High Bridge Rd, Quincy, FL 32351-6128 2019-10-17
1225686348 Krystal Marie Gottilla Counselor 48a Bay State Rd, Quincy, MA 02171-1512 2019-09-02
1346723202 Robert Eugene Bates Counselor 203 Central Ave So, Quincy, WA 98848 2018-09-07
1033691100 Hector Ismael Zavala Counselor 203 So. Central Ave, Quincy, WA 98848 2018-09-05
1871097220 Maricella Salazar Counselor 203 South Central, Quincy, WA 98848 2018-03-21
1760984777 Oumaima Mansouri Counselor 110 West Squantum Street, Quincy, MA 02171 2018-03-06
1144737636 James Kenneth Cheatham Jr. Counselor 80 Quarry St Apt 3, Quincy, MA 02169-4173 2018-01-05
1831612860 Matthew Ward Counselor 270 County Hospital Rd. #109, Quincy, CA 95971 2017-07-21
1982132577 Madison Gonzalez Counselor 203 So. Central, Quincy, WA 98848 2017-05-26
Find all providers in QUINCY

Competitor

Search similar providers

City QUINCY
Zip Code 02169

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Dataset Information

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.

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