DR. KEVIN KEATING (LMHC, PH.D.) – Mental Health Counselor, NPI 1174277933

DR. KEVIN KEATING (LMHC, PH.D.) is a healthcare provider. based in Weston, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC, PH.D.. They hold a License No. MH1378 (FL). The NPI Number for DR. KEVIN KEATING (LMHC, PH.D.) is 1174277933

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN KEATING (LMHC, PH.D.)
NPI
1174277933
Phone
(954) 854-1902
Address
2121 HARBOR WAY
Enumeration Date
9 February 2022
Last Update Date
9 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9548859500
Graduation Year
1974 (52 years ago)
PAC ID
2264874023
Group Practice PAC ID
8921337973
Professional Enrollment ID
I20240523004241
Address ID
FL333162875FO1848XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for DR. KEVIN KEATING (LMHC, PH.D.)

  • 2121 HARBOR WAY

    WESTON, FL 333262345

    Phone: (954) 854-1902

    Type: Location

  • 18459 PINES BLVD # 153

    PEMBROKE PINES, FL 330291400

    Phone: (954) 854-1902

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240523004241IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33326)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921337973View full group profile
NameSpecialtyState
Clinical PsychologistFL
Clinical Social WorkerIL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
-FL
Clinical PsychologistPA
Clinical PsychologistFL
Clinical Social WorkerFL
Clinical PsychologistOH

Reviews

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Frequently asked questions

How is DR. KEVIN KEATING (LMHC, PH.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KEVIN KEATING (LMHC, PH.D.) with NPI 1174277933.
Can I rely on DR. KEVIN KEATING (LMHC, PH.D.) being an active provider?
As of the registry snapshot, DR. KEVIN KEATING (LMHC, PH.D.) is marked active.
What healthcare role does DR. KEVIN KEATING (LMHC, PH.D.) hold?
Scheduling teams often label DR. KEVIN KEATING (LMHC, PH.D.) under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KEVIN KEATING (LMHC, PH.D.)?
DR. KEVIN KEATING (LMHC, PH.D.)'s geographic hint is Weston, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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