Active NPI
Kel Weller, LPC
- Professional Counselor
- Royal Oak, MI
National Provider Identifier
1528216173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401011025
- Practice address
- 25600 Woodward Ave
Suite 215
Royal Oak, MI 48067-0943 - Phone
- (248) 399-7447
- Fax
- (248) 399-7447
- NPI assigned
- Sep 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401011025 | MI | Primary |
Addresses
Primary practice location
25600 Woodward Ave
Suite 215
Royal Oak, MI 48067-0943
Mailing address
25600 Woodward Ave
Suite 215
Royal Oak, MI 48067-0943
Phone (248) 399-7447
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011025 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1528216173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25600 WOODWARD AVE",
"address_2": "SUITE 215",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480670943",
"telephone_number": "248-399-7447",
"fax_number": "248-399-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25600 WOODWARD AVE",
"address_2": "SUITE 215",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480670943",
"telephone_number": "248-399-7447",
"fax_number": "248-399-7447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "KEL",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-08",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401011025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.