KEITH VENNUM LMHC NPI 1952415119

NPI Information

NPI: 1952415119
Provider Name: KEITH VENNUM, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
150 E ROBINSON ST UNIT 2201
ORLANDO, FL
ZIP 32801
Phone: (407) 205-8833
Get Directions

Keith Vennum, LMHC is a mental health counselor in Orlando, FL. Keith Vennum, LMHC NPI is 1952415119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

150 E ROBINSON ST UNIT 2201
ORLANDO, FL
ZIP 32801-360
Phone: (407) 205-8833

The NPI 1952415119 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 3/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH 11014	FLORIDA	Yes
2	101YM0800X	Counselor	Mental Health	MH11014	FLORIDA	No
3	207LA0401X	Anesthesiology	Addiction Medicine	ME24611	FLORIDA	No
4	2084A0401X	Psychiatry & Neurology	Addiction Medicine	ME24611	FLORIDA	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	ME24611	FLORIDA	No
6	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	ME24611	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	68002A	OTHER	FLORIDA	MEDICARE
2	003353900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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