Keith Lafountain, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MT3230 Issued in FL

Practice address

58120 Morton St
Marathon, FL 33050-5728

Phone

(305) 924-4673

NPI assigned

Apr 25, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Marriage and Family Therapist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Change of Mind LLCGroup PAC ID 4284971672, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Change of Mind LLC

  • Mental Health Counselor
  • Port St Lucie, FL
  • NPI 1811443195
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1235873233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58120 MORTON ST",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330505728",
            "telephone_number": "305-924-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58120 MORTON ST",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330505728",
            "telephone_number": "305-924-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFOUNTAIN",
        "first_name": "KEITH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT3230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Kolor
• Stephanie Ann Kornetti, RN
• Brandi Kay Koske, RN
• Jerry Wayne Kuntz, R.PH.
• Cynthia Laforney, RN
• Frank T Lansden Jr., MD
• Roberto B Larios
• Fionna Lazzara
• Jessie Leird
• Lester Gil DDS, PA

• Mental Health Counselor in Marathon, FL
• Providers in Marathon, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.