Nannette Marie Keith, M.ED., LBSW, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19546 Issued in TX

Practice address

529 FM 3363
Olden, TX 76466

Phone

(254) 653-2340

Fax

(325) 646-8559

NPI assigned

Oct 17, 2007

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shackelford County Community Resource Center

  • Federally Qualified Health Center (FQHC)
  • Albany, TX
  • NPI 1194804278

  TX

  Medicare reassignment Care Compare group NPD
• Shackelford County Community Resource Center

  • Federally Qualified Health Center (FQHC)
  • Merkel, TX
  • NPI 1184096273
  Care Compare group NPD
• Shackelford County Community Resource Center

  • Adult Mental Health Clinic/Center
  • Albany, TX
  • NPI 1073749784
  Care Compare group
• Shackelford County Community Resource Center

  • Federally Qualified Health Center (FQHC)
  • Clyde, TX
  • NPI 1215205265
  Care Compare group
• Shackelford County Community Resource Center

  • Federally Qualified Health Center (FQHC)
  • Breckenridge, TX
  • NPI 1417248824
  Care Compare group
• Shackelford County Community Resource Center

  • Federally Qualified Health Center (FQHC)
  • Cross Plains, TX
  • NPI 1881985299
  Care Compare group

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shackelford County Community Resource Center 25 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nannette.keith.1@28291.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2007.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1104015064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "OLDEN",
            "state": "TX",
            "postal_code": "764660112",
            "telephone_number": "254-653-2340",
            "fax_number": "325-646-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 FM 3363",
            "city": "OLDEN",
            "state": "TX",
            "postal_code": "76466",
            "telephone_number": "254-653-2340",
            "fax_number": "325-646-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "NANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LBSW, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.