Individual provider Active NPI

Robin Keller, LLP, LPC

  • Counselor
  • Livonia, MI
National Provider Identifier
1104273960
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401225801 Issued in MI
Practice address
17197 N Laurel Park Dr Ste 110
Livonia, MI 48152-2680
Phone
(734) 744-7252
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361004417 MI
Counselor 101Y00000X 6401225801 MI Primary

Addresses

Primary practice location

17197 N Laurel Park Dr Ste 110
Livonia, MI 48152-2680

Mailing address

17197 N Laurel Park Dr Ste 110
Livonia, MI 48152-7909
Phone (734) 744-7252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260226002799 MI Practitioner - Mental Health Counselor 7719468727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17197 N Laurel Park Dr
Livonia, MI 48152-2680

40433 Koppernick Rd
Canton, MI 48187-4283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401225801MIMDCounselor
6361004417MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Brda, LLC Psychologist CurrentSince Feb 1, 2026 Accepting new patients

Locations

17197 N Laurel Park Dr
Ste 110
Livonia, MI 48152
Phone (586) 275-7480

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775260800000",
    "number": "1104273960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17197 N LAUREL PARK DR STE 110",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527909",
            "telephone_number": "734-744-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17197 N LAUREL PARK DR STE 110",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522680",
            "telephone_number": "734-744-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "ROBIN",
        "credential": "LLP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361004417",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401225801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.