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KEITH L CROWNOVER PHD
NPI 1447511605
Counselor - Mental Health in Albuquerque, NM

Active since June 05, 2012PECOS Enrolled
3205 TAHITI ST NE, ALBUQUERQUE, NM 87111(405) 824-9625 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keith L Crownover Phd NPPES

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

KEITH L CROWNOVER PHD (NPI 1447511605) is an individual mental health provider in Albuquerque, New Mexico, licensed in New Mexico (CCMH0219991) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1447511605
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEITH L CROWNOVERCredential: PHD
Location Address3205 TAHITI ST NEAlbuquerque, NM 87111-5342
Mailing Address3205 Tahiti St NeAlbuquerque, NM 87111-5342 · (405) 824-9625
Phone(405) 824-9625
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 5, 2012
Last NPPES UpdateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
✔ NPI 1447511605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NM · CCMH0219991✔ Licensed in CO · LPC0017517✔ Licensed in OK · LPC6141
3205 TAHITI ST NE, Albuquerque, NM 87111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith L Crownover Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971097916
PECOS Enrollment IDI20251208004159
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.

Medicare Billing Reassignment

Medicare enrollment records show Keith Crownover reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind Provider Network LLC
330 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado, New Mexico and Oklahoma enrollments
  • 940 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Keith Crownover's NPI number?

The NPI number for Keith Crownover is 1447511605. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Keith Crownover located?

Keith Crownover practices at 3205 Tahiti St NE, Albuquerque, NM 87111. The listed phone number is (405) 824-9625.

What is Keith Crownover's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Keith Crownover enrolled in Medicare?

Yes. Keith Crownover is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keith Crownover's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Crownover reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Crownover's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Crownover accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Mending Health and Oscar Insurance Company and 1 other insurer list Keith Crownover as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Crownover was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.