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KEELAN DENNIS MFT
NPI 1376018770
Marriage & Family Therapist in Bloomington, IL

Active since October 11, 2018
2103 E WASHINGTON ST STE 2G, BLOOMINGTON, IL 61701(309) 431-1649 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2021, Jun 18, 2019, Oct 11, 2018 (3 updates tracked since 2018).

About Keelan Dennis Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEELAN DENNIS MFT (NPI 1376018770) is a healthcare organization registered as a marriage & family therapist in Bloomington, Illinois and active in the NPI registry since October 2018. The organization lists Keelan Dennis, Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1376018770
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameKEELAN DENNIS MFT
Location Address2103 E WASHINGTON ST STE 2GBloomington, IL 61701-4365
Mailing Address2103 E Washington St Ste 2gBloomington, IL 61701-4365 · (309) 431-1649
Phone(309) 431-1649
Organization SubpartNo
Authorized OfficialKeelan DennisMental Health Counselor · (309) 431-1649
Enumeration DateOctober 11, 2018
Last NPPES UpdateAugust 5, 20213 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
✔ NPI 1376018770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2103 E WASHINGTON ST STE 2G, Bloomington, IL 61701
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Other Identifiers 1

Medicaid1578099875OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ERIN KASHELLE CREIGHTON LCSW
Social Worker (Clinical)
2103 E WASHINGTON ST STE 2G
BLOOMINGTON, IL 61701
McLean County (309) 322-2020
THE HEALING TREE PSYCHOTHERAPY AND CONSULTING SERVICES, LLC
Social Worker (Clinical)
2103 E WASHINGTON ST STE 2G
BLOOMINGTON, IL 61701
McLean County (309) 322-2020

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 Keelan Dennis Mft's NPI number?

The NPI number for Keelan Dennis Mft is 1376018770. It was assigned to this organization in the NPPES registry on October 11, 2018.

Where is Keelan Dennis Mft located?

Keelan Dennis Mft is located at 2103 E Washington St Ste 2G, Bloomington, IL 61701. The listed phone number is (309) 431-1649.

What is Keelan Dennis Mft's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Keelan Dennis Mft was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.