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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Jack Logan Keith Jr., PMHNP

Psychiatric/Mental Health Nurse Practitioner in University Place, WA · enumerated 2012 · practices at Mindful Mental Health, Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982968210

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Registry record

Entity type Individual (Type 1)
Name Mr. Jack Logan Keith Jr.
Credential PMHNP
Sex Male
Practice address University Place, WA, 98467
Fax (888) 414-8151
Enumeration date Jul 2, 2012
Last updated in NPPES Dec 3, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 202110580NP-PP (OR) Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP61193548 (WA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jack Keith?
The National Provider Identifier (NPI) for Jack Keith is 1982968210, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jack Keith practice?
The practice location on file with NPPES is in University Place, WA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-03.