KEITH CANTRELL LPC-A
NPI 1619697737
Counselor - Mental Health in Austin, TX
- Individual
- Male
- Counselor
- Mental Health
- Opted-Out Medicare
About KEITH CANTRELL
This page provides the complete NPI Profile along with additional information for Keith Cantrell, a provider established in Austin, Texas with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1619697737 assigned on August 2022. The practitioner's primary taxonomy code is 101YM0800X with license number 89106 (TX). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1619697737 Verify this NPI
- Provider Name
- KEITH CANTRELL LPC-A
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2525 WALLINGWOOD DR BLDG 12 AUSTIN, TX 78746
- Location Phone
- (512) 686-8377
- Mailing Address
- 2525 WALLINGWOOD DR BLDG 12 AUSTIN, TX 78746
- Mailing Phone
- (512) 686-8377
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-30-2022
- Last Update Date
- 08-30-2022
- Code Navigator
A mental health counselor like Keith Cantrell provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Keith Cantrell opted out of Medicare effective on 05-01-2025 until 05-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 89106
- License State
- TX
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-01-2025
Opt-Out End Date: 05-01-2027
Eligible to Order and Refer? No
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Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
AUSTIN, TX 78746
AUSTIN, TX 78746
AUSTIN, TX 78746
AUSTIN, TX 78746
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619697737, enumerated as an "individual" on August 30, 2022.
The provider is located at 2525 WALLINGWOOD DR BLDG 12 AUSTIN, TX 78746 and the phone number is (512) 686-8377.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
