Individual provider Active NPI

Kaitlyn Marie Keller, LCMHCA

  • Professional Counselor
  • Asheville, NC
National Provider Identifier
1215640602
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A15384 Issued in NC
Practice address
75 Church St
Asheville, NC 28801-3623
Phone
(828) 708-9955
NPI assigned
Dec 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A15384 NC Primary
Mental Health Counselor 101YM0800X A15384 NC

Addresses

Primary practice location

75 Church St
Asheville, NC 28801-3623

Mailing address

75 Church St
Asheville, NC 28801-3623
Phone (828) 708-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A15384NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Asheville DBT & Trauma, PLLC CurrentSince Nov 24, 2024 Accepting new patients
Focus Centers, PLLC Mental Health Past Accepting new patients

Locations

75 Church St
Asheville, NC 28801
Phone (828) 371-4566

1 Village Ln
Ste 3
Asheville, NC 28803
Phone (828) 708-9955

Organizations & group practices 2

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": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1215640602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CHURCH ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013623",
            "telephone_number": "828-708-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CHURCH ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013623",
            "telephone_number": "828-708-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A15384",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.