Tracie Lynn Keller, LPCC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.0900503 Issued in OH

Practice address

1080 Fishinger Rd
Suite 103
Columbus, OH 43221-2302

Phone

(614) 822-7819

Fax

(614) 372-5590

NPI assigned

Nov 9, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tracie L Keller, LPCC, LLC

  dba Keller Counseling and Associates

  • Professional Counselor
  • Columbus, OH
  • NPI 1770960650
  NPD (past) Authorized official
• Tracie L Keller, LPCC, LLC

  • Professional Counselor
  • Worthington, OH
  • NPI 1801295233
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1003160219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 FISHINGER RD",
            "address_2": "SUITE 103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212302",
            "telephone_number": "614-822-7819",
            "fax_number": "614-372-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 FISHINGER RD",
            "address_2": "SUITE 103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212302",
            "telephone_number": "614-822-7819",
            "fax_number": "614-372-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "TRACIE",
        "middle_name": "LYNN",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0900503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Keller, AU.D.
• Nicholas D Keller, PHARMD
• Sara Kathryn Keller, DO
• Susan Shaleen Keller, MSN, RN-BC
• Taryn Marie Keller, APRN-CNP
• Tricia Keller
• Cyrus V. Kellermier, MD
• Whitney Frances Kellett, MD, PHD
• Kelley Smith Counseling LLC
• Allyson E Kelley, CNP

• Mental Health Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.