Michelle Lynn Keller, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

254281 Issued in KY

Practice address

12701 Townepark Way BLDG Suite200
Louisville, KY 40243-2384

Phone

(502) 254-8880

Fax

(502) 254-8870

NPI assigned

Mar 14, 2020

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

Electronic endpoints 1

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 and National Provider Directory roles.

• Shelby Counseling Associates, PSC

  • Professional Counselor
  • Shelbyville, KY
  • NPI 1568659498

  Single Specialty

  NPD (past)
• Shelby Counseling Associates, PSC

  • Professional Counselor
  • Louisville, KY
  • NPI 1992991855

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1194351809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 BRIDLE BEND WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402994889",
            "telephone_number": "859-489-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 TOWNEPARK WAY BLDG SUITE200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432384",
            "telephone_number": "502-254-8880",
            "fax_number": "502-254-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-14",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "254281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Louisville",
            "affiliation": "Y",
            "affiliationName": "Shelby Counseling Associates, PSC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12701 Townepark Way Bldg Suite200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402432384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cara Childers Keller, MD
• Erin Christine Keller, APRN, FNP-BC, CCRN
• Jason Keller, PSY D
• Jessica L. Keller, PA-C
• Kimberly Ann Keller, PHARMD, RPH
• Patrick Keller, RPH
• Theresa M Keller, RPH
• Tyler James Keller, M.D.
• Lauren Elizabeth Kellerman, TCADC
• Mary Jean Kellett, LCSW

• All providers in Louisville, KY
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.