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KEITH CANTRELL LPC-A
NPI 1619697737
Counselor - Mental Health in Austin, TX

Active since August 30, 2022Opted out of Medicare · through May 1, 2027
2525 WALLINGWOOD DR BLDG 12, AUSTIN, TX 78746(512) 686-8377 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith Cantrell Lpc-a NPPES

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

KEITH CANTRELL LPC-A (NPI 1619697737) is an individual mental health provider in Austin, Texas, licensed in Texas (89106) and active in the NPI registry since August 2022. He has opted out of Medicare through May 1, 2027.

NPPES Registry Identity

NPI1619697737
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEITH CANTRELLCredential: LPC-A
Location Address2525 WALLINGWOOD DR BLDG 12Austin, TX 78746-6932
Mailing Address2525 Wallingwood Dr Bldg 12Austin, TX 78746-6932 · (512) 686-8377
Phone(512) 686-8377
Sole ProprietorYes
Enumeration DateAugust 30, 2022
NPPES CertifiedAugust 30, 2022
✔ NPI 1619697737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 89106
2525 WALLINGWOOD DR BLDG 12, Austin, TX 78746
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Keith Cantrell Lpc-a 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 May 1, 2025 through May 1, 2027.

Opt-Out Effective DateMay 1, 2025
Opt-Out In Effect ThroughMay 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

JEREMY LEAVELL LPC
Counselor (Professional)
2525 WALLINGWOOD DR BLDG 12
AUSTIN, TX 78746
Travis County (737) 242-0288
ANNA LIPKIN MA, LPC-A
Counselor (Mental Health)
2525 WALLINGWOOD DR BLDG 12
AUSTIN, TX 78746
Travis County (512) 222-6886
HAILEY MICHELLE WEBSTER
Counselor (Mental Health)
2525 WALLINGWOOD DR BLDG 12
AUSTIN, TX 78746
Travis County (512) 222-3858
JESSICA LEIGH SATTERFIELD MA, LPC-ASSOCIATE
Counselor (Mental Health)
2525 WALLINGWOOD DR BLDG 12
AUSTIN, TX 78746
Travis County (512) 720-5936
RACHEL D VECCHIO
Counselor (Professional)
2525 WALLINGWOOD DR BLDG 12
AUSTIN, TX 78746
Travis County (512) 222-7188
MR. DECKLLAN MARCKLE HARTTE LMT
Massage Therapist
2525 WALLINGWOOD DR BLDG 12
AUSTIN, TX 78746
Travis County (512) 784-6163
ESMERALDA LOZANO HOANG LPC
Counselor (Mental Health)
2525 WALLINGWOOD DR BLDG 12
AUSTIN, TX 78746
Travis County (512) 843-3498
COURTNEY ALISSA GARCIA M.A, LPC-A
Counselor (Professional)
2525 WALLINGWOOD DR BLDG 12
AUSTIN, TX 78746
Travis County (512) 648-6960

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 Cantrell's NPI number?

The NPI number for Keith Cantrell is 1619697737. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Keith Cantrell located?

Keith Cantrell practices at 2525 Wallingwood Dr Bldg 12, Austin, TX 78746. The listed phone number is (512) 686-8377.

What is Keith Cantrell's specialty?

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

Is Keith Cantrell enrolled in Medicare?

No. Keith Cantrell has opted out of Medicare through May 1, 2027. 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 Keith Cantrell was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.