Individual provider Active NPI

Danielle Keller, LMHC

  • Mental Health Counselor
  • Hollywood, FL
National Provider Identifier
1366925273
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22704 Issued in FL
Practice address
3543 Lincoln Way
Hollywood, FL 33026-4858
Phone
(954) 618-8477
Fax
(954) 698-2021
NPI assigned
Sep 7, 2018
Reactivated
Sep 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH22704 FL Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

3543 Lincoln Way
Hollywood, FL 33026-4858

Mailing address

3543 Lincoln Way
Hollywood, FL 33026-4858
Phone (954) 618-8477

Other names 1

  • Danielle Chackman Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1366925273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3543 LINCOLN WAY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264858",
            "telephone_number": "954-618-8477",
            "fax_number": "954-698-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 LINCOLN WAY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264858",
            "telephone_number": "954-618-8477",
            "fax_number": "954-698-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "DANIELLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "deactivation_date": "2021-09-09",
        "reactivation_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22704",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "CHACKMAN",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.