NICOLE KEELE MA, LAC
NPI 1174400824
Counselor - Mental Health in Tucson, AZ
About Nicole Keele Ma, Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE KEELE MA, LAC (NPI 1174400824) is an individual mental health provider in Tucson, Arizona, licensed in Arizona (LAC-21979) and active in the NPI registry since August 2025. She has opted out of Medicare through February 10, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Nicole Keele Ma, Lac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 10, 2026 through February 10, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Keele's NPI number?
The NPI number for Nicole Keele is 1174400824. It was assigned to this individual provider in the NPPES registry on August 16, 2025.
Where is Nicole Keele located?
Nicole Keele practices at 510 E Fort Lowell Rd, Tucson, AZ 85705. The listed phone number is (520) 499-0768.
What is Nicole Keele's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nicole Keele enrolled in Medicare?
No. Nicole Keele has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Nicole Keele was last updated on August 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
