Individual provider Active NPI

Keagan Theron

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1518804244
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1415 W 51St St Unit 1
Austin, TX 78756-2659
Phone
(512) 201-4501
NPI assigned
Apr 30, 2026
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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 TX Primary

Addresses

Primary practice location

1415 W 51St St Unit 1
Austin, TX 78756-2659

Mailing address

14110 Kellywood LN
Houston, TX 77079-6806
Phone (713) 515-1835

Other practice location 1

8500 Shoal Creek Blvd Ste 202
Austin, TX 78757-7591
Phone (512) 201-4501

Other practice location 2

1213 W Slaughter Ln Ste 130
Austin, TX 78748-6904
Phone (512) 201-4501

Other practice location 3

505 E Huntland Dr Ste 320
Austin, TX 78752-3741
Phone (512) 201-4501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Counseling Services LLC Mental Health PastSince Dec 28, 2022 Accepting new patients
Therapy Austin, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1518804244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14110 KELLYWOOD LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796806",
            "telephone_number": "713-515-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W 51ST ST UNIT 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562659",
            "telephone_number": "512-201-4501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 Shoal Creek Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787577591",
            "country_code": "US",
            "telephone_number": "512-201-4501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 W Slaughter Ln Ste 130",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787486904",
            "country_code": "US",
            "telephone_number": "512-201-4501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 E Huntland Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787523741",
            "country_code": "US",
            "telephone_number": "512-201-4501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERON",
        "first_name": "KEAGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.