Individual provider Active NPI

Keith Cantrell, LPC

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1619697737
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
89106 Issued in TX
Practice address
2525 Wallingwood Dr BLDG 12
Austin, TX 78746-6932
Phone
(512) 686-8377
NPI assigned
Aug 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 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 89106 TX Primary

Addresses

Primary practice location

2525 Wallingwood Dr BLDG 12
Austin, TX 78746-6932

Mailing address

2525 Wallingwood Dr BLDG 12
Austin, TX 78746-6932
Phone (512) 686-8377

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.resilienceaustin.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 1, 2025 through May 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
89106TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1619697737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR BLDG 12",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466932",
            "telephone_number": "512-686-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR BLDG 12",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466932",
            "telephone_number": "512-686-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "KEITH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.resilienceaustin.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2525 Wallingwood Dr Bldg 12",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787466932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.