Organization Active NPI

Keylight Counseling, LLC

  • Clinical Social Worker
  • Carmel, IN
National Provider Identifier
1003783564
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KEYLIGHT COUNSELING, LLC
Practice address
90 Executive Dr Ste B
Carmel, IN 46032-2612
Phone
(317) 674-3121
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Mr. Antonio Gaeta Jr., LCSWNPI 1962185223
Title
Therapist
Phone
(219) 779-0566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

90 Executive Dr Ste B
Carmel, IN 46032-2612

Mailing address

90 Executive Dr Ste B
Carmel, IN 46032-2612
Phone (317) 674-3121

Other practice location 1

511 N Chester Ave
Indianapolis, IN 46201-2620
Phone (219) 779-0566

National Provider Directory

National Provider Directory

Locations

90 Executive Dr
Ste B
Carmel, IN 46032
Phone (317) 674-3121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1003783564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 EXECUTIVE DR STE B",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322612",
            "telephone_number": "317-674-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 EXECUTIVE DR STE B",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322612",
            "telephone_number": "317-674-3121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 N Chester Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462012620",
            "country_code": "US",
            "telephone_number": "219-779-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEYLIGHT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "GAETA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "219-779-0566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.