Taylor Keltner, LPCC
Individual provider Active NPI Professional Counselor · Russell Springs, KY
NPI 1306609367 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1306609367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 285391 (KY)
- Practice address
- 1442 W Steve Wariner Dr
Russell Springs, KY 42642-5505 - Phone
- (270) 866-4147
- NPI assigned
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285391 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparc Transit Services LLC | Current |
Accepting new patients | |
| Freedom Management | Past |
Accepting new patients |
Locations
1442 W Steve Wariner Dr
Russell Springs, KY 42642
Phone (270) 858-5377
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 285391 | KY | Yes |
Addresses
Primary practice location
1442 W Steve Wariner Dr
Russell Springs, KY 42642-5505
Mailing address
450 Pelly Lane
Columbia, KY 42768
Other providers in Russell Springs, KY
- Amber Nicole Johnson
- Dalene Joy Jones
- Madyson Jones
- Taylor Jones
- Erika W Kelly
- Kentucky Breast Care
- Kid Steps Inc
- Della M Kincaid
- Alisha A Knight
- Kroger Limited Partnership I
All providers in Russell Springs, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.