MEDICARE: MS. RACHEL KEO MA, LMHC, CPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	CP6278-R	NV
2	101YM0800X	Mental Health Counselor	61392996	WA

General Provider Information

NPI Number	:	1184321804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RACHEL KEO MA, LMHC, CPC, NCC

Provider Business Mailing Address
First Line	:	4505 S MARYLAND PKWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89154-9900
Country	:	US
Telephone Number	:	702-895-4146
Fax Number	:

Provider Business Practice Location Address
First Line	:	4505 S MARYLAND PKWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89154-9900
Country	:	US
Telephone Number	:	702-895-4146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2023
Last Update Date	:	05/21/2026

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