Individual provider Active NPI

Keith D. Harryhill, LMHC.CMHC.MPA.BSW.

  • Mental Health Counselor
  • Ormond Beach, FL
National Provider Identifier
1457603243
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25516 Issued in FL
Practice address
533 N Nova Rd Ste 104C
Ormond Beach, FL 32174-4420
Phone
(386) 280-4789
NPI assigned
Oct 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH25516 FL Primary

Addresses

Primary practice location

533 N Nova Rd Ste 104C
Ormond Beach, FL 32174-4420

Mailing address

533 N Nova Rd Ste 104C
Ormond Beach, FL 32174-4420
Phone (386) 280-4789

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250819004243 FL Practitioner - Mental Health Counselor 5698274215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Psychiatric Associates Inc.Group PAC ID 1153367545, 34 clinicians

Practice addresses (Care Compare)

2345 Sand Lake Rd
Suite 200
Orlando, FL 32809-9140
Phone (407) 851-5121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH25516FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Psychiatric Associates Inc. CurrentSince Oct 24, 2025 Accepting new patients
Suboxone Health Clinic LLC CurrentSince Aug 13, 2025 Accepting new patients

Locations

2345 Sand Lake Rd
Ste 200
Orlando, FL 32809
Phone (407) 329-6599

2281 Lee Rd
Ste 102
Winter Park, FL 32789
Phone (386) 848-8751

Organizations & group practices 2

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": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1457603243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD STE 104C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744420",
            "telephone_number": "386-280-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD STE 104C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744420",
            "telephone_number": "386-280-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRYHILL",
        "first_name": "KEITH",
        "middle_name": "D.",
        "credential": "LMHC.CMHC.MPA.BSW.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-04",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.