ANDREW KEENAN
NPI 1407101496
Counselor - Mental Health in Penndel, PA

Q: What is Andrew Keenan's NPI number?

The NPI number for Andrew Keenan is 1407101496. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Q: What is Andrew Keenan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Andrew Keenan enrolled in Medicare?

No. Andrew Keenan has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Andrew Keenan was last updated on July 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 17, 2012Opted out of Medicare · through Apr 1, 2028

1517 DURHAM RD, PENNDEL, PA 19047(215) 752-1541 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrew Keenan NPPES

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

ANDREW KEENAN (NPI 1407101496) is an individual mental health provider in Penndel, Pennsylvania and active in the NPI registry since July 2012. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1407101496

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameANDREW KEENAN

Location Address1517 DURHAM RDPenndel, PA 19047-5707

Mailing Address2005 Cabot Blvd WLanghorne, PA 19047-1885 · (267) 587-2300 · Fax (267) 587-2305

Phone(215) 752-1541

Sole ProprietorNo

Enumeration DateJuly 17, 2012

✔ NPI 1407101496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1517 DURHAM RD, Penndel, PA 19047

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Andrew Keenan has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

EDWARD DONAHUE

Counselor (Mental Health)