Larry Keller, LSATP, LCAS, CAADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-234233 Issued in NC

Practice address

1555 Meadowview Dr Ste 5
Danville, VA 24541

Phone

(434) 685-1570

Fax

(434) 685-1477

NPI assigned

Jun 25, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family of Hands LLCGroup PAC ID 9335684554, 5 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.

• Family of Hands, LLC

  • Professional Counselor
  • Danville, VA
  • NPI 1861042608
  Medicare reassignment Care Compare group NPD
• Starting Point of Virginia, P.C.

  • Multi-Specialty Clinic/Center
  • Abingdon, VA
  • NPI 1760949127
  Medicare reassignment NPD
• Starting Point of Virginia, P.C.

  • Clinical Medical Laboratory
  • Abingdon, VA
  • NPI 1720656259
  NPD
• Crossroads Treatment Center of Winchester, PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Winchester, VA
  • NPI 1750823043
  NPD (past)
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312
  NPD (past)

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

{
    "created_epoch": "1466812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1285085779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8932 KENTUCK RD",
            "city": "RINGGOLD",
            "state": "VA",
            "postal_code": "245865426",
            "telephone_number": "434-334-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 MEADOWVIEW DR STE 5",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24541",
            "telephone_number": "434-685-1570",
            "fax_number": "434-685-1477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8932 Kentuck Rd",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "VA",
            "postal_code": "245865426",
            "country_code": "US",
            "telephone_number": "434-334-6508",
            "fax_number": "434-334-6508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 Mount Cross Rd",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245404088",
            "country_code": "US",
            "telephone_number": "434-222-9098",
            "fax_number": "434-381-4316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "LARRY",
        "credential": "LSATP, LCAS, CAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-25",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0718000420",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103300",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "1436",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-234233",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CSAC20095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul C Keenan Jr., MD
• Amanda L Keith, FNP
• Kimbly Kellam, LPC
• Wynette Kellam
• Joshua Keller, LPC
• Mykayla Grace Kelley-Montes, FNP-C
• Gerald Kelly
• Pamela R Kendrick-Marsoobian, DC
• Emily Jackson Kendrick, FNP-C
• Meagan Kennedy, LPC-A

• Addiction (Substance Use Disorder) Counselor in Danville, VA
• Providers in Danville, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.