MR. KEITH MARTIN
NPI 1760145668
Counselor - Mental Health in Morrisonville, NY

Q: What is Keith Martin's NPI number?

The NPI number for Keith Martin is 1760145668. It was assigned to this individual provider in the NPPES registry on October 18, 2021.

Q: What is Keith Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keith Martin was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 18, 2021PECOS EnrolledAccepts Medicare Assignment

2155 ROUTE 22B, MORRISONVILLE, NY 12962(518) 563-8000(518) 324-2178 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2026, Dec 14, 2023, Oct 18, 2021 (3 updates tracked since 2021).

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About Mr. Keith Martin NPPES

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

MR. KEITH MARTIN (NPI 1760145668) is an individual mental health provider in Morrisonville, New York, licensed in New York (017636) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1760145668

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. KEITH MARTIN

Location Address2155 ROUTE 22BMorrisonville, NY 12962-3417

Mailing Address416 Stafford RdPlattsburgh, NY 12901-6121 · (518) 593-7853

Phone(518) 563-8000

Fax(518) 324-2178

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateOctober 18, 2021

Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1760145668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 017636

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 41497 (NY)

2155 ROUTE 22B, Morrisonville, NY 12962

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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

Mr. Keith Martin 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 ID143797324

PECOS Enrollment IDI20260424001405

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 20

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

JAKE SANTILLI LMHC

Counselor (Mental Health)