LISA M KECK NPI 1588390637

NPI Information

NPI: 1588390637
Provider Name: LISA M KECK
Classification: Counselor - 101YA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Individual
Address: 1501 MADISON RD
CINCINNATI, OH
ZIP 45206
Phone: (513) 354-5200

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NPI Details

Lisa M Keck is an addiction (substance use disorder) counselor in Cincinnati, OH. Lisa M Keck NPI is 1588390637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1501 MADISON RD
CINCINNATI, OH
ZIP 45206
Phone: (513) 354-5200
Fax: (513) 354-7115

The enumeration date for this NPI number is 7/29/2022 and was last updated on 1/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist		0002772	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.180655	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00000	OTHER	OHIO	LICENSURE BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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