MEDICARE: CYNTHIA LYNN KEENER M.ED LPCC

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	101YP2500X	Professional Counselor	C.1801034	OH
2	101Y00000X	Counselor	C.1700268-TRNE	OH
3	101YP2500X	Professional Counselor	E2202802	OH
4	101YA0400X	Addiction (Substance Use Disorder) Counselor	CDCA.163229	OH
5	101YP2500X	Professional Counselor	E2202802-S	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881109916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA LYNN KEENER M.ED LPCC

Provider Business Mailing Address
First Line	:	130 PARK AVE
Second Line	:
City	:	NEW LONDON
State	:	OH
Zip	:	44851-1128
Country	:	US
Telephone Number	:	419-706-2160
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 MILAN AVE
Second Line	:
City	:	NORWALK
State	:	OH
Zip	:	44857-1131
Country	:	US
Telephone Number	:	567-743-7199
Fax Number	:

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

Provider Enumeration Date	:	12/12/2017
Last Update Date	:	02/09/2026

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