Active NPI
Dianne Keel, LPC
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1174376743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 80222
- Practice address
- 5757 Woodway Dr Ste 285
Houston, TX 77057-1533 - Phone
- (713) 520-2054
- NPI assigned
- Apr 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 80222 | TX | Primary |
Addresses
Primary practice location
5757 Woodway Dr Ste 285
Houston, TX 77057-1533
Mailing address
209 Wynden Crescent CT
Houston, TX 77056-2521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80222 | TX | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ethos Prism, LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1712793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1174376743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 WYNDEN CRESCENT CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770562521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 WOODWAY DR STE 285",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770571533",
"telephone_number": "713-520-2054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEL",
"first_name": "DIANNE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-11",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "80222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.