LARRY KELLER (LSATP, LCAS, CAADC) – Counselor, NPI 1285085779

LARRY KELLER (LSATP, LCAS, CAADC) is a healthcare provider. based in Ringgold, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LSATP, LCAS, CAADC. They hold a License No. 0718000420 (VA). The NPI Number for LARRY KELLER (LSATP, LCAS, CAADC) is 1285085779

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
LARRY KELLER (LSATP, LCAS, CAADC)
NPI
1285085779
Phone
(434) 334-6508
Address
8932 KENTUCK RD
Enumeration Date
25 June 2016
Last Update Date
21 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4342728372
Graduation Year
2017 (9 years ago)
PAC ID
2163960428
Group Practice PAC ID
9335684554
Professional Enrollment ID
I20250219000394
Address ID
VA245403315DA500XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:9State licenses:5Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for LARRY KELLER (LSATP, LCAS, CAADC)

  • 8932 KENTUCK RD

    RINGGOLD, VA 245865426

    Phone: (434) 334-6508

    Type: Mailing

  • 8932 Kentuck Rd

    Ringgold, VA 245865426

    Phone: (434) 334-6508

    Fax: (434) 334-6508

    Type: Location

  • 413 Mount Cross Rd

    Danville, VA 245404088

    Phone: (434) 222-9098

    Fax: (434) 381-4316

    Type: Location

  • 1555 MEADOWVIEW DR STE 5

    DANVILLE, VA 24541

    Phone: (434) 685-1570

    Fax: (434) 685-1477

    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: 2025-02-19

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
I20250219000394IMental Health CounselorVATBD

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 24586)

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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: 9335684554View full group profile
NameSpecialtyState
Mental Health CounselorVA
Mental Health CounselorVA
Mental Health CounselorVA

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Frequently asked questions

What is the 10-digit NPI for LARRY KELLER (LSATP, LCAS, CAADC)?
LARRY KELLER (LSATP, LCAS, CAADC) — NPI 1285085779 — is the standard way to identify this listing.
Is LARRY KELLER (LSATP, LCAS, CAADC) still practicing?
LARRY KELLER (LSATP, LCAS, CAADC) is currently listed as active in the public NPI registry.
What is LARRY KELLER (LSATP, LCAS, CAADC)'s primary classification?
Counselor is the headline specialty for LARRY KELLER (LSATP, LCAS, CAADC) here. Clinical services aligned with this taxonomy classification.
What area does LARRY KELLER (LSATP, LCAS, CAADC) serve?
LARRY KELLER (LSATP, LCAS, CAADC)'s listing highlights Ringgold, Virginia; more addresses can appear in NPPES.
Is the information about LARRY KELLER (LSATP, LCAS, CAADC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."