JONATHON MATTHEW KECK LPC, LCPC
NPI 1275285140
Counselor - Professional in Decatur, IL
About Jonathon Matthew Keck Lpc, Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHON MATTHEW KECK LPC, LCPC (NPI 1275285140) is an individual professional provider in Decatur, Illinois, licensed in Illinois (180015714) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonathon Matthew Keck Lpc, Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jonathon Keck's NPI number?
The NPI number for Jonathon Keck is 1275285140. It was assigned to this individual provider in the NPPES registry on January 21, 2022.
Where is Jonathon Keck located?
Jonathon Keck practices at 102 W Kenwood Ave Ste 120A, Decatur, IL 62526. The listed phone number is (217) 693-6072.
What is Jonathon Keck's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jonathon Keck enrolled in Medicare?
Yes. Jonathon Keck is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jonathon Keck was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jonathon Matthew Keck, LPC, LCPC · NPI 1275285140
Professional provider in Decatur, Illinois. Individual provider, active in the CMS NPPES registry since January 21, 2022.
## Identity
- **NPI:** 1275285140 (Entity type: Individual)
- **Enumerated:** January 21, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180015714 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 102 W KENWOOD AVE STE 120A, Decatur, IL 62526-4368
- **Phone:** (217) 693-6072
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** December 28, 2023
- **Other identifiers:** Other 180015714 (IL); Other 178.016620 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1275285140) · Data from the CMS NPPES public registry.