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MR. KEITH STEWART MUNDIS L.P.C.
NPI 1720153380
Counselor - Professional in Greer, SC

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
311 BENNETT CENTER DR, GREER, SC 29650(864) 968-9687(864) 968-9449 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Keith Stewart Mundis L.p.c. NPPES

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

MR. KEITH STEWART MUNDIS L.P.C. (NPI 1720153380) is an individual professional provider in Greer, South Carolina, licensed in South Carolina (1223) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1720153380
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. KEITH STEWART MUNDISCredential: L.P.C.
Location Address311 BENNETT CENTER DRGreer, SC 29650-1259
Mailing Address311 Bennett Center DrGreer, SC 29650-1259 · (864) 968-9687 · Fax (864) 968-9449
Phone(864) 968-9687
Fax(864) 968-9449
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720153380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 1223
311 BENNETT CENTER DR, Greer, SC 29650
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Keith Stewart Mundis L.p.c. 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 ID2567809122
PECOS Enrollment IDI20240319002790
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 Mundis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Table Rock Integrated Health And Wellness Practice, LLC.
11 mi
Psychiatry
5 CENTER ST
Travelers Rest, SC 29690
  • Reassigned Medicare billing, South Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1104145184 (864) 908-6372

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

Other Providers at the Same Location NPPES 5

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

DR. NANCY DENISE K CROCKETT PH.D.
Counselor (Professional)
311 BENNETT CENTER DR
GREER, SC 29650
Greenville County (864) 968-9687
FAMILY THERAPY & TRAUMA CENTER
Marriage & Family Therapist
311 BENNETT CENTER DR
GREER, SC 29650
Greenville County (864) 968-9687
DR. PAUL STEWART GUNTER I LMFT, LPC
Marriage & Family Therapist
311 BENNETT CENTER DR
GREER, SC 29650
Greenville County (864) 968-9687
MS. LAURA E ROSSE LMSW
Social Worker
311 BENNETT CENTER DR
GREER, SC 29650
Greenville County (864) 968-9687
ASHLEY ELIZABETH DOYLE LISW-CP
Social Worker (Clinical)
311 BENNETT CENTER DR
GREER, SC 29650
Greenville County (864) 630-2281

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 Mundis's NPI number?

The NPI number for Keith Mundis is 1720153380. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Keith Mundis located?

Keith Mundis practices at 311 Bennett Center Dr, Greer, SC 29650. The listed phone number is (864) 968-9687.

What is Keith Mundis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Keith Mundis enrolled in Medicare?

Yes. Keith Mundis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Keith Mundis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Mundis reassigns Medicare benefits to Table Rock Integrated Health And Wellness Practice, LLC. (Travelers Rest, SC). 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 Mundis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Mundis accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Keith Mundis 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 Mundis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.