KRISTIE LYNNE KEASLER (BSW MS/LPC) – Counselor, NPI 1811328958

KRISTIE LYNNE KEASLER (BSW MS/LPC) is a healthcare provider. based in Poplar bluff, Missouri. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials BSW MS/LPC. The NPI Number for KRISTIE LYNNE KEASLER (BSW MS/LPC) is 1811328958

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIE LYNNE KEASLER (BSW MS/LPC)
NPI
1811328958
Phone
(573) 686-7472
Address
621 W PINE ST
Enumeration Date
27 November 2013
Last Update Date
13 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
9739616087
Professional Enrollment ID
I20241227000060
Address ID
MO639014726PO1600XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:12State licenses:0Digital endpointsOther names

1,232 MENTAL HEALTH COUNSELOR in MO

Provider Addresses for KRISTIE LYNNE KEASLER (BSW MS/LPC)

  • 621 W PINE ST

    POPLAR BLUFF, MO 639015042

    Phone: (573) 686-7472

    Fax: (573) 686-8350

    Type: Mailing

  • 1600 W MAUD ST STE 2

    POPLAR BLUFF, MO 639014726

    Phone: (417) 860-3458

    Type: Location

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: 2024-12-27

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
I20241227000060IMental Health CounselorMOTBD

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 63901)

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Reviews

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Frequently asked questions

How is KRISTIE LYNNE KEASLER (BSW MS/LPC) identified in CMS data?
CMS-hosted NPPES data lists KRISTIE LYNNE KEASLER (BSW MS/LPC) with NPI 1811328958.
Can I rely on KRISTIE LYNNE KEASLER (BSW MS/LPC) being an active provider?
As of the registry snapshot, KRISTIE LYNNE KEASLER (BSW MS/LPC) is marked active.
What is KRISTIE LYNNE KEASLER (BSW MS/LPC)'s specialty?
The listing groups KRISTIE LYNNE KEASLER (BSW MS/LPC) with Counselor. Clinical services aligned with this taxonomy classification.
Where is KRISTIE LYNNE KEASLER (BSW MS/LPC) based?
KRISTIE LYNNE KEASLER (BSW MS/LPC) is tied to Poplar Bluff, Missouri in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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