Keane Connors
Counselor, Addiction (Substance Use Disorder) in Venice, CA. Individual provider (NPI-1).
NPI number1891660155
StatusActive
Last updated in NPPESOct 7, 2025
Details
- NPI
- 1891660155
- Entity type
- Individual (NPI-1)
- Name
- Keane Connors
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2025
- Certification date
- Oct 7, 2025
- Last updated
- Oct 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | CA | Yes |
Practice location
503 Ocean Front WalkVenice, CA 90291-2403
Phone 310-392-3070
Mailing address
503 Ocean Front WalkVenice, CA 90291-2403
Phone 310-392-3070
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 71 Addiction (Substance Use Disorder) Counselor providers in Venice · All 751 providers in Venice
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