Keely Stevens, LMFTA

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

85000588A Issued in IN

Practice address

4622 N Broadway Ave
Muncie, IN 47303-1083

Phone

(765) 288-8862

NPI assigned

Apr 2, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Union Chapel Ministries

  • Mental Health Counselor
  • Muncie, IN
  • NPI 1306564570
  NPD
• Union Chapel Ministries

  • Professional Counselor
  • Muncie, IN
  • NPI 1467783407
  NPD (past)

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1629872254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 N BROADWAY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031083",
            "telephone_number": "765-288-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 N BROADWAY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031083",
            "telephone_number": "765-288-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KEELY",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "85000588A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor L Stephens, MSW
• Christopher C Stephenson, PA-C
• Cody Stephey
• Bryan Vanwood Stevens, MSPT
• Emily Lyn Stevens, DO
• Laura G Stevenson, AUDIOLOGIST
• Sheridan Mallory Steveson, NP
• Emily Stewart, RBT
• James B Stewart, O.D.
• Jeremiah W Stewart, PA-C

• Counseling Psychologist in Muncie, IN
• Providers in Muncie, IN by specialty
• Counseling Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.