Individual provider Active NPI

Keith Edward Pringle, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1104251578
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03737 Issued in TX
Practice address
2400 Augusta Dr
Suite 372
Houston, TX 77057-4922
Phone
(713) 785-7575
Fax
(888) 979-9976
NPI assigned
Sep 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 03737 TX Primary

Addresses

Primary practice location

2400 Augusta Dr
Suite 372
Houston, TX 77057-4922

Mailing address

2400 Augusta Dr
Suite 372
Houston, TX 77057-4922
Phone (713) 785-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, OR, IN, NY5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20131104000538 TX Practitioner - Clinical Social Worker 2264667062 Reassigns benefits to 1 organization
I20240416003230 NM Practitioner - Clinical Social Worker 2264667062 Reassigns benefits to 2 organizations
I20250625001656 OR Practitioner - Clinical Social Worker 2264667062 Reassigns benefits to 1 organization
I20250630002165 IN Practitioner - Clinical Social Worker 2264667062 Reassigns benefits to 1 organization
I20250718003127 NY Practitioner - Clinical Social Worker 2264667062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

1405 Vegas Verdes
Unit 211
Santa Fe, NM 87507-3564
Phone (212) 284-7206

2753 Valencia LN
Schertz, TX 78154-3721
Phone (530) 531-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03737TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA CurrentSince Feb 3, 2024 Accepting new patients
Talkspace Medical Services Ny PC CurrentSince Apr 12, 2025 Accepting new patients

Locations

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1104251578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 AUGUSTA DR",
            "address_2": "SUITE 372",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574922",
            "telephone_number": "713-785-7575",
            "fax_number": "888-979-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AUGUSTA DR",
            "address_2": "SUITE 372",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574922",
            "telephone_number": "713-785-7575",
            "fax_number": "888-979-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINGLE",
        "first_name": "KEITH",
        "middle_name": "EDWARD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "03737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.