Michael Shawn Kellerman, LMHC SAP MAC CAP CCJ

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1533CAT1533 Issued in FL

Practice address

3110 1St Ave N 2ND Floor Suite 6W
St Petersburg, FL 33733-6524

Phone

(727) 580-9117

Fax

(813) 961-9787

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arg Innovations LLCGroup PAC ID 3779940838, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arg Innovations LLC

  dba Ellie Mental Health Sarasota and Manatee

  • Mental Health Counselor
  • Bradenton, FL
  • NPI 1750099222
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1568535235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16524",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337336524",
            "telephone_number": "727-580-9117",
            "fax_number": "813-961-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 1ST AVE N 2ND FLOOR SUITE 6W",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337336524",
            "telephone_number": "727-580-9117",
            "fax_number": "813-961-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLERMAN",
        "first_name": "MICHAEL",
        "middle_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "LMHC SAP MAC CAP CCJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "1533CAT1533",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Golin PHD FL LLC
• Keith Runyan, MD
• Alaina Keith, MD
• Margaret Ann Kelleher, M.D.
• Winnie J Keller, M.S. CCC/A, FAAA
• Kishma Kelley, REGISTERED NURSE
• Kelly Venuti, LLC (Concierge Holistic Wellness)
• Carolyn Kelly, ARNP
• Erin Kelly, CRNP
• Jacqueline Nicole Kelly

• Addiction (Substance Use Disorder) Counselor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.