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KEITH VENNUM LMHC
NPI 1952415119
Counselor - Mental Health in Orlando, FL

Active since August 17, 2006Opted out of Medicare · through Apr 1, 2027
150 E ROBINSON ST UNIT 2201, ORLANDO, FL 32801(407) 205-8833 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keith Vennum Lmhc NPPES

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

KEITH VENNUM LMHC (NPI 1952415119) is an individual mental health provider in Orlando, Florida, licensed in Florida (MH 11014) and active in the NPI registry since August 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1952415119
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEITH VENNUMCredential: LMHC
Location Address150 E ROBINSON ST UNIT 2201Orlando, FL 32801-4360
Mailing Address150 E Robinson St, Unit 2201Orlando, FL 32801-1695 · (863) 529-8491 · Fax (321) 247-6983
Phone(407) 205-8833
Sole ProprietorYes
Enumeration DateAugust 17, 2006
Last NPPES UpdateMarch 29, 2021
NPPES CertifiedFebruary 24, 2021
✔ NPI 1952415119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in FL · MH 11014✔ Licensed in FL · MH11014
Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X · License ME24611 (FL)
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License ME24611 (FL)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License ME24611 (FL)
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License ME24611 (FL)
150 E ROBINSON ST UNIT 2201, Orlando, FL 32801
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Other Identifiers 2

Other68002AFL · Medicare
Medicaid003353900FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Keith Vennum Lmhc 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 April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Vennum's NPI number?

The NPI number for Keith Vennum is 1952415119. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Keith Vennum located?

Keith Vennum practices at 150 E Robinson St Unit 2201, Orlando, FL 32801. The listed phone number is (407) 205-8833.

What is Keith Vennum's specialty?

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

Is Keith Vennum enrolled in Medicare?

No. Keith Vennum has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Keith Vennum was last updated on March 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.