LARRY KELLER LSATP, LCAS, CAADC
NPI 1285085779
Counselor - Addiction (Substance Use Disorder) in Danville, VA

Q: What is Larry Keller's NPI number?

The NPI number for Larry Keller is 1285085779. It was assigned to this individual provider in the NPPES registry on June 25, 2016.

Q: What is Larry Keller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Larry Keller was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2016PECOS EnrolledAccepts Medicare Assignment

1555 MEADOWVIEW DR STE 5, DANVILLE, VA 24541(434) 685-1570(434) 685-1477 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2020, Mar 17, 2018, Oct 17, 2017 and 2 more (5 updates tracked since 2016).

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About Larry Keller Lsatp, Lcas, Caadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY KELLER LSATP, LCAS, CAADC (NPI 1285085779) is an individual addiction (substance use disorder) provider in Danville, Virginia, licensed in North Carolina (LCAS-234233) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285085779

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameLARRY KELLERCredential: LSATP, LCAS, CAADC

Location Address1555 MEADOWVIEW DR STE 5Danville, VA 24541

Mailing Address8932 Kentuck RdRinggold, VA 24586-5426 · (434) 334-6508

Phone(434) 685-1570

Fax(434) 685-1477

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJune 25, 2016

Last NPPES UpdateJuly 21, 20205 updates tracked since enumeration

NPPES CertifiedJuly 21, 2020

✔ NPI 1285085779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in NC · LCAS-234233✔ Licensed in NC · CSAC20095✔ Licensed in VA · 1436✔ Licensed in VA · 0710103300

Also ListedCounselorTaxonomy 101Y00000X · License 0718000420 (VA)

1555 MEADOWVIEW DR STE 5, Danville, VA 24541

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Secondary Practice Locations 2

Location 18932 Kentuck RdRinggold, VA 24586-5426 · Phone (434) 334-6508 · Fax (434) 334-6508

Location 2413 Mount Cross RdDanville, VA 24540-4088 · Phone (434) 222-9098 · Fax (434) 381-4316

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Larry Keller Lsatp, Lcas, Caadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163960428

PECOS Enrollment IDI20250219000394

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIERRA LEANN HAIRSTON

Counselor (Addiction (Substance Use Disorder))