Active NPI
Elena Keller, LCPC
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1548563075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC4763
- Practice address
- 1012 S North Point Rd
Baltimore, MD 21224-3338 - Phone
- (443) 216-4800
- Fax
- (443) 216-4801
- NPI assigned
- Dec 5, 2010
- Sex
- Female
- 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 | LC4763 | MD | Primary |
Addresses
Primary practice location
1012 S North Point Rd
Baltimore, MD 21224-3338
Mailing address
810 Bestgate Rd Ste 325
Annapolis, MD 21401-4291
Phone (667) 408-3001
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 |
|---|---|---|---|
| LC4763 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arundel Mental Health Professionals L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba LifeStance Health
- Clinical Psychologist
- Arnold, MD
- NPI 1073649521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729987200000",
"number": "1548563075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 BESTGATE RD STE 325",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014291",
"telephone_number": "667-408-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 S NORTH POINT RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243338",
"telephone_number": "443-216-4800",
"fax_number": "443-216-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "ELENA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-05",
"last_updated": "2024-10-27",
"certification_date": "2024-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.