KEITH PRENTISS COLE MA
NPI 1912364274
Counselor - Professional in Charleston, WV

Q: What is Keith Cole's NPI number?

The NPI number for Keith Cole is 1912364274. It was assigned to this individual provider in the NPPES registry on January 18, 2016.

Q: What is Keith Cole's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keith Cole was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 18, 2016PECOS EnrolledAccepts Medicare Assignment

511 MORRIS ST, CHARLESTON, WV 25301(304) 525-7851 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Feb 27, 2025, Jan 18, 2016 (3 updates tracked since 2016).

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About Keith Prentiss Cole Ma NPPES

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

KEITH PRENTISS COLE MA (NPI 1912364274) is an individual professional provider in Charleston, West Virginia, licensed in West Virginia (2213) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in South Charleston, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1912364274

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameKEITH PRENTISS COLECredential: MA

Location Address511 MORRIS STCharleston, WV 25301-1326

Mailing Address99 Cracker Barrel Dr Ste 100Barboursville, WV 25504-1650 · (304) 525-7851 · Fax (304) 697-1251

Phone(304) 525-7851

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJanuary 18, 2016

Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1912364274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WV · 2213

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2213 (WV)

511 MORRIS ST, Charleston, WV 25301

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Secondary Practice Location 1

Location 1312 6th Ave Ste 2South Charleston, WV 25303-1265 · Phone (304) 768-6170 · Fax (304) 768-2099

Other Identifiers 1

Medicaid0023815000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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

Keith Prentiss Cole Ma 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 ID4082138235

PECOS Enrollment IDI20250409000498

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.

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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.

DOROTHY THOMAS LGSW

Social Worker (Clinical)