Individual provider Active NPI

Keith Stauch, LMHC

  • Mental Health Counselor
  • East Greenwich, RI
National Provider Identifier
1487947115
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC01198 Issued in RI
Practice address
1485 S County TRL Unit 107
East Greenwich, RI 02818-1771
Phone
(401) 785-0040
NPI assigned
May 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC01198 RI Primary
Counselor 101Y00000X

Addresses

Primary practice location

1485 S County TRL Unit 107
East Greenwich, RI 02818-1771

Mailing address

1301 Galvin Rd S Apt 208
Bellevue, NE 68005-3714
Phone (402) 860-3405

Other practice location 1

8610 Brentwood Dr
1
LA Vista, NE 68128-3377
Phone (402) 331-3232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, RI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240508002148 CT Practitioner - Mental Health Counselor 6204277213 Reassigns benefits to 1 organization
I20240508003260 MA Practitioner - Mental Health Counselor 6204277213 Reassigns benefits to 2 organizations
I20240509000533 RI Practitioner - Mental Health Counselor 6204277213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians
Child and Family Psychiatry, Inc.Group PAC ID 5294173464, 90 clinicians
Supportive Care I of Rhode Island PCGroup PAC ID 1951793546, 53 clinicians
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians
Supportive Behavioral Care of Mass LLCGroup PAC ID 8123530169, 49 clinicians

Practice addresses (Care Compare)

111 Westcott Rd
Danielson, CT 06239-2929
Phone (718) 298-4375

1485 S County TRL
Unit 107
East Greenwich, RI 02818-1771
Phone (401) 785-0040

17 Adelphi Ave
Providence, RI 02906-4119
Phone (718) 298-4375

44 School St
RM 325
Boston, MA 02108-4209
Phone (718) 298-4375

75 Brimbal Ave
Beverly, MA 01915-6009
Phone (718) 506-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC01198RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Behavioral Care of Ma LLC CurrentSince Apr 15, 2024 Accepting new patients
Supportive Behavioral Care of Mass LLC CurrentSince May 13, 2025 Accepting new patients
Child and Family Psychiatry, Inc. Mental Health CurrentSince Jun 17, 2026 Accepting new patients
Supportive Care I of Rhode Island PC CurrentSince Apr 15, 2024 Accepting new patients
Step Up Care PC LLC Counselor CurrentSince Apr 15, 2024 Accepting new patients

Locations

111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540

75 Brimbal Ave
Beverly, MA 01915
Phone (978) 685-2460

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

2 Beaumont Ave
Brockton, MA 02302
Phone (508) 588-8500

11 North St
Stoneham, MA 02180
Phone (603) 759-4559

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1485 S County Trl
Unit 107
East Greenwich, RI 02818
Phone (401) 258-1621

Organizations & group practices 5

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": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1487947115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 GALVIN RD S APT 208",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053714",
            "telephone_number": "402-860-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 S COUNTY TRL UNIT 107",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181771",
            "telephone_number": "401-785-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8610 Brentwood Dr",
            "address_2": "1",
            "address_purpose": "LOCATION",
            "city": "LA Vista",
            "state": "NE",
            "postal_code": "681283377",
            "country_code": "US",
            "telephone_number": "402-331-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUCH",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-27",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01198",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.