MR. GEREMY F. KEETON


Address: 2050 Bramblwood Ln, Colorado Springs, CO 80920-1588
Phone: 7193102995

MR. GEREMY F. KEETON (NPI# 1831479369) 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) 1831479369
Entity Type Individual
Full Name MR. GEREMY F. KEETON
Credential M.MFT, LMFT
Practice Address 2050 Bramblwood Ln
Colorado Springs
CO 80920-1588
Practice Telephone 7193102995
Mailing Telephone 7193102995
Enumeration Date 2011-08-29
Last Update Date 2011-08-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
TX Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 724 CO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO GK COUNSELING & THERAPEUTIC SERVICES, LLC (REGISTERED IN COLORAD 27-4224058 01

Office Location

Street Address 2050 BRAMBLWOOD LN
City COLORADO SPRINGS
State CO
Zip Code 80920-1588

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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

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Competitor

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City COLORADO SPRINGS
Zip Code 80920

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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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