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Active NPI 1275285140 Individual Practitioner Male Practitioner

Jonathon Matthew Keck , LPC, LCPC

Counselor - Professional • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Jonathon Keck, LPC, LCPC is a registered healthcare professional specializing in Counselor - Professional in Decatur, IL. Practice services are available at 102 W KENWOOD AVE STE 120A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

102 W Kenwood Ave Ste 120a

Decatur, IL 625264368

Telephone 2176936072

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
65 Specialists

Practicing in Decatur, IL (9683 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-28
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180015714

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License IL 178.016620

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Illinois Department Of Financial And Professional Regulation
180015714 (IL)
Commercial Insurance / Payer ID Illinois Department Of Financial And Professional Regulation
178.016620 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1043789688

Doctor of Philosophy (Ph.D.)

Keyera Smith

Social Worker

NPI 1134080781
Katherine Getowicz , LMFT

Marriage & Family Therapist

NPI 1477020147

Licensed Marriage and Family Therapist

NPI 1609456292
Kimberly Kolarik , LCSW

Social Worker - Clinical

NPI 1831579135

Licensed Clinical Social Worker

Tamica Hatchett , LCSW

Social Worker - Clinical

NPI 1871173518

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 28, 2023

Registered at 102 W KENWOOD AVE STE 120A, DECATUR, IL 625264368 (Tel: 2176936072)

👤
Provider Name / Credentials Updated December 28, 2023

Recorded as JONATHON KECK, LPC, LCPC

NPI Profile Active January 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2022

Registered at 2506 GALEN DR STE 101, CHAMPAIGN, IL 618217047 (Tel: 2176936072)

📍
Updated Business Mailing Address January 21, 2022

Registered at 2131 N OAKCREST CT, DECATUR, IL 625263446 (Tel: 2174125543)

👤
Provider Name / Credentials Updated January 21, 2022

Recorded as JONATHON KECK, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2022

Counselor (License #178.016620 in IL)

🟢
Initial NPI Registration & Enumeration January 21, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275285140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2022
Last Update: December 28, 2023
Sole Proprietor: No

Mailing Address

2131 N Oakcrest Ct

Decatur, IL 625263446

Phone: 2174125543

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.