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NPI Code Detail

MEDICARE: MATTHEW RICHARD KEEFER LPC

MEDICARE: MATTHEW RICHARD KEEFER LPC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorC.2406682OH
2101YP2500XProfessional CounselorC.2406682OH
3101YM0800XMental Health CounselorC.2406682OH

General Provider Information

NPI Number : 1013863133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW RICHARD KEEFER LPC
Provider Business Mailing Address
First Line : 6659 SAINT ANDREWS CROSS APT D
Second Line :
City : LIBERTY TOWNSHIP
State : OH
Zip : 45044-1142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1025 E CENTERVILLE STATION RD
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-5500
Country : US
Telephone Number : 937-742-7516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ MATTHEW RICHARD KEEFER LPC” Practice Location

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