MR. MARVIN THEADORE KEATON III MA, LCMHCS, LCAS,CSI
NPI 1942518048
Counselor - Professional in Pleasant Garden, NC

Active since September 23, 2010PECOS EnrolledAccepts Medicare Assignment
6715 HOCKETT COUNTRY LN, PLEASANT GARDEN, NC 27313(336) 508-0714 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2021, May 10, 2017 (2 updates tracked since 2017).

About Mr. Marvin Theadore Keaton Iii Ma, Lcmhcs, Lcas,csi NPPES

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

MR. MARVIN THEADORE KEATON III MA, LCMHCS, LCAS,CSI (NPI 1942518048) is an individual professional provider in Pleasant Garden, North Carolina, licensed in North Carolina (7790S) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1942518048
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MARVIN THEADORE KEATON IIICredential: MA, LCMHCS, LCAS,CSI
Location Address6715 HOCKETT COUNTRY LNPleasant Garden, NC 27313-8262
Mailing Address6715 Hockett Country LnPleasant Garden, NC 27313-8262 · (336) 508-0714
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 23, 2010
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
NPI 1942518048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 7790S
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-23799 (NC)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
6715 HOCKETT COUNTRY LN, Pleasant Garden, NC 27313

Accepted 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

Mr. Marvin Theadore Keaton Iii Ma, Lcmhcs, Lcas,csi 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 ID8820440001
PECOS Enrollment IDI20240124000323
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

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

Counselor (Addiction (Substance Use Disorder))
6715 HOCKETT COUNTRY LN
PLEASANT GARDEN, NC 27313

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 Marvin Keaton's NPI number?

The NPI number for Marvin Keaton is 1942518048. It was assigned to this individual provider in the NPPES registry on September 23, 2010.

Where is Marvin Keaton located?

Marvin Keaton practices at 6715 Hockett Country Ln, Pleasant Garden, NC 27313. The listed phone number is (336) 508-0714.

What is Marvin Keaton's specialty?

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

Is Marvin Keaton enrolled in Medicare?

Yes. Marvin Keaton 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.

What insurance does Marvin Keaton accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Marvin Keaton 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 Marvin Keaton was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.