Keegan Raine Trussell, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

82505 Issued in TX

Practice address

100 Austin Ave Ste 206
Weatherford, TX 76086-3382

Phone

(817) 694-6460

NPI assigned

Aug 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1487321899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AUSTIN AVE",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760863372",
            "telephone_number": "817-694-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AUSTIN AVE STE 206",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760863382",
            "telephone_number": "817-694-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUSSELL",
        "first_name": "KEEGAN",
        "middle_name": "RAINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "keegantcounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Austin Ave Ste 206",
            "city": "Weatherford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760863382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adalinda Trevino
• Angela Trevino
• Catherine Trevino
• Jessie Tripp, PTA
• Judith Leigh Trotter, LCSW
• Jasmin Turcios, M.S., CF-SLP
• Hannah Turner
• Rita Carol Turns, OTR
• Brandi Lee Tyler, LPC
• Omokhobho William Ugege, PHARMD

• Mental Health Counselor in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.