SPENCER KEECH (P.C.) – Mental Health Counselor, NPI 1629496005

SPENCER KEECH (P.C.) is a healthcare provider. based in Cleveland, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials P.C.. They hold a License No. C.1200011 (OH). The NPI Number for SPENCER KEECH (P.C.) is 1629496005

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER KEECH (P.C.)
NPI
1629496005
Phone
(216) 939-3709
Address
7800 DETROIT AVE
Enumeration Date
2 April 2014
Last Update Date
2 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4403235707
Graduation Year
2012 (14 years ago)
PAC ID
3274976915
Group Practice PAC ID
3870716251
Professional Enrollment ID
I20240208004291
Address ID
OH440355618EL312XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,616 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for SPENCER KEECH (P.C.)

  • 7800 DETROIT AVE

    CLEVELAND, OH 441022814

    Phone: (216) 939-3709

    Fax: (216) 631-3654

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240208004291IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870716251View full group profile
NameSpecialtyState
-OH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

Is SPENCER KEECH (P.C.) listed with a National Provider Identifier?
Yes — SPENCER KEECH (P.C.) has NPI 1629496005 on file in the registry.
Is there an active status for SPENCER KEECH (P.C.)?
For scheduling context, SPENCER KEECH (P.C.) is shown as active in the registry.
What area of care is associated with SPENCER KEECH (P.C.)?
SPENCER KEECH (P.C.)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where in Ohio is SPENCER KEECH (P.C.) registered?
Use Cleveland, Ohio as the headline location for SPENCER KEECH (P.C.) here.
Can I trust this NPI listing for SPENCER KEECH (P.C.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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