Keith Richard Renfroe , MA
Counselor - Professional • Chicago, LA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Keith Renfroe has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Keith Renfroe, MA was a registered Counselor - Professional practicing in Chicago, LA. Throughout an active medical career spanning 17 years, Keith Renfroe provided care at the practice location at 17504 CARRIAGEWAY DR. until profile deactivation on 2024-04-03.
Practice Location & Contact Primary Location
17504 Carriageway Dr.
Suite B
Chicago, LA 60429
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Chicago, LA
Practicing in Chicago, LA (2984 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Professional
Master of Arts
Counselor - Professional
Licensed Clinical Professional Counselor, Certified Alcohol and Drug Counselor, Master of Arts
Social Worker - Clinical
Counselor - Professional
Licensed Clinical Professional Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 03, 2024
NPI status registered as active in NPPES database
Registered at 17504 CARRIAGEWAY DR., SUITE B, CHICAGO, LA 60429 (Tel: 7087990300)
Registered at 9651 S UNION, CHICAGO, IL 606281016 (Tel: 7732980110)
Recorded as KEITH RENFROE, M.A.
Counselor (License #180-005500 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
9651 S Union
Chicago, IL 606281016
Phone: 7732980110
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