Individual provider Active NPI

Katherine Elizabeth Keeney, LPC

  • Professional Counselor
  • Round Rock, TX
National Provider Identifier
1144941014
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89715 Issued in TX
Practice address
505 E Palm Valley Blvd Ste 240
Round Rock, TX 78664-3043
Phone
(844) 824-8775
Fax
(281) 648-2200
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-21218 AZ
Professional Counselor 101YP2500X 89715 TX Primary

Addresses

Primary practice location

505 E Palm Valley Blvd Ste 240
Round Rock, TX 78664-3043

Mailing address

7906 Chilton Stage
San Antonio, TX 78255-2188
Phone (702) 682-2656

Other practice location 1

7906 Chilton Stage
San Antonio, TX 78255-2188
Phone (702) 682-2656

Other practice location 2

2081 W Frye Rd Ste 208
Chandler, AZ 85224-6279
Phone (702) 805-5360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240224000594 AZ Practitioner - Mental Health Counselor 2062857543 Reassigns benefits to 1 organization
I20240227000503 TX Practitioner - Mental Health Counselor 2062857543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

2081 W Frye Rd
Suite 208
Chandler, AZ 85224-6279
Phone (702) 805-5360

540 Oak Centre Dr
Suite 205
San Antonio, TX 78258-4767
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89715TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Jan 13, 2024 Accepting new patients
Progressive Behavioral Health, PLLC Professional CurrentSince Feb 13, 2024 Accepting new patients
Psychology Specialists LTD PastSince Jan 29, 2023 Accepting new patients
Ascend Healthcare, PLLC PastSince Apr 24, 2021 Accepting new patients

Locations

2081 W Frye Rd
Ste 208
Chandler, AZ 85224
Phone (480) 524-0990

7373 N Scottsdale Rd
Ste A199
Scottsdale, AZ 85253
Phone (702) 805-5360

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

3000 Polar Ln
Ste 101
Cedar Park, TX 78613
Phone (512) 201-4006

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

1425 Greenway Dr
Ste 360
Irving, TX 75038
Phone (317) 362-3417

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

505 E Palm Valley Blvd
Ste 240
Round Rock, TX 78664
Phone (512) 310-7177

540 Oak Centre Dr
Ste 205
San Antonio, TX 78258
Phone (210) 705-5001

4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400

431 E State Highway 114
Ste 140
Southlake, TX 76092
Phone (817) 751-7802

Organizations & group practices 4

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": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1144941014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7906 CHILTON STAGE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552188",
            "telephone_number": "702-682-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E PALM VALLEY BLVD STE 240",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643043",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7906 Chilton Stage",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782552188",
            "country_code": "US",
            "telephone_number": "702-682-2656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2081 W Frye Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246279",
            "country_code": "US",
            "telephone_number": "702-805-5360",
            "fax_number": "702-977-7488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENEY",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-21218",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.