MRS. NANNETTE MARIE KEITH (M.ED., LBSW, LPC) – Professional Counselor, NPI 1104015064

MRS. NANNETTE MARIE KEITH (M.ED., LBSW, LPC) is a healthcare provider. based in Olden, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.ED., LBSW, LPC. They hold a License No. 19546 (TX). The NPI Number for MRS. NANNETTE MARIE KEITH (M.ED., LBSW, LPC) is 1104015064

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NANNETTE MARIE KEITH (M.ED., LBSW, LPC)
NPI
1104015064
Phone
(254) 653-2340
Address
PO BOX 112
Enumeration Date
17 October 2007
Last Update Date
17 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2545597215
Graduation Year
2000 (26 years ago)
PAC ID
8628421443
Group Practice PAC ID
8628027174
Professional Enrollment ID
I20240129002353
Address ID
TX764244000BR2802XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,949 MENTAL HEALTH COUNSELOR in TX

Loading map...

Provider Addresses for MRS. NANNETTE MARIE KEITH (M.ED., LBSW, LPC)

  • 112, Oddenvej, Lumsås, Odsherred Municipality, Region Zealand, 4500, Denmark

    OLDEN, TX 764660112

    Phone: (254) 653-2340

    Fax: (325) 646-8559

    Type: Mailing

  • 529, Farm-to-Market Road 3363, Olden, Eastland County, Texas, 76466, United States

    OLDEN, TX 76466

    Phone: (254) 653-2340

    Fax: (325) 646-8559

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-01-29

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
I20240129002353IMental Health CounselorTXTBD

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 76466)

Loading plans...

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: 8628027174View full group profile
NameSpecialtyState
Nurse PractitionerTX
Mental Health CounselorTX
Mental Health CounselorTX
Nurse PractitionerTX
General PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up MRS. NANNETTE MARIE KEITH (M.ED., LBSW, LPC) by NPI?
Use NPI 1104015064 when you need to reference MRS. NANNETTE MARIE KEITH (M.ED., LBSW, LPC) in forms, claims, or directories.
Is MRS. NANNETTE MARIE KEITH (M.ED., LBSW, LPC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. NANNETTE MARIE KEITH (M.ED., LBSW, LPC) list a primary specialty?
If you are matching referrals, note Professional Counselor for MRS. NANNETTE MARIE KEITH (M.ED., LBSW, LPC). Clinical services aligned with this taxonomy classification.
Does MRS. NANNETTE MARIE KEITH (M.ED., LBSW, LPC) practice in Texas?
You will see Olden, Texas on file for MRS. NANNETTE MARIE KEITH (M.ED., LBSW, LPC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

Unknown Individual

Professional Counselor
Texas Panhandle Centers Intellectual and Developmental Disability Services, 901, Wallace Boulevard, Amarillo, Potter County, Texas, 79106, United States of America
NPI: 1912900119

ANNA ISOM (LPC)

Professional Counselor
Texas Panhandle Centers Intellectual and Developmental Disability Services, 901, Wallace Boulevard, Amarillo, Potter County, Texas, 79106, United States of America
NPI: 1295738474

North Texas Rehabilitation Center

Rehabilitation Clinic/Center
Midwestern Parkway, Wichita Falls, Wichita County, Texas, 76302, United States
NPI: 1669475885

Sweeny Community Hospital

Critical Access Hospital
Sweeny Community Hospital, 305, North McKinney Street, Sweeny, Brazoria County, Texas, 77480, United States
NPI: 1023011657

MR. ALBERT W JAMESON (LPC)

Addiction (Substance Use Disorder) Counselor
333, Throckmorton Street, Downtown Fort Worth, Fort Worth, Tarrant County, Texas, 76102, United States
NPI: 1336141506

MRS. RONIKAYE RUSAK (LPC)

Professional Counselor
Lamar Avenue, Paris, Lamar County, Texas, 75462, United States
NPI: 1437153426
4245, Kemp Boulevard, Wichita Falls, Wichita County, Texas, 76308, United States
NPI: 1962406827
631 MILL ST STE 101
NPI: 1689678302