Katie Keller, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-1660 Issued in WY

Practice address

920 E Sheridan St Ste a
Laramie, WY 82070-3868

Phone

(307) 460-9039

Fax

(307) 460-9041

NPI assigned

Nov 15, 2012

Last updated

Jul 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of WyomingGroup PAC ID 4183607054, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katie.keller.1@30244.direct.athenahealth.com

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

• University of Wyoming

  dba University of Wyoming Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Cheyenne, WY
  • NPI 1770681439
  Medicare reassignment Care Compare group NPD
• University of Wyoming

  dba Albany Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Laramie, WY
  • NPI 1639617061
  NPD
• University of Wyoming Speech and Hearing Clinic

  • Audiologist
  • Laramie, WY
  • NPI 1184760993
  NPD
• Aktos Analytics, LLC

  • Psychiatry Physician
  • Laramie, WY
  • NPI 1053452094
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1336483437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 HARNEY ST STE 202",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722899",
            "telephone_number": "307-766-3313",
            "fax_number": "307-766-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E SHERIDAN ST STE A",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703868",
            "telephone_number": "307-460-9039",
            "fax_number": "307-460-9041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 N 4th St",
            "address_2": "#119",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820722066",
            "country_code": "US",
            "telephone_number": "307-721-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KATIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Maria Kautzman Pena, MSW, LCSW
• Kyle J Kavalec
• Cody Keller
• Jennifer E. Keller, APRN
• Justin Keller
• Michelle Keller
• Stephanie Mae Keller
• Marcia Bell Kelley, M.S., CCC-SLP
• Benjamin Frank Kellner, A.T.C, L.A.T.
• Kelly Petrino, PSYD

• Professional Counselor in Laramie, WY
• Providers in Laramie, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.