Individual provider Active NPI

Indy Keller, LPC

  • Professional Counselor
  • Temple, TX
National Provider Identifier
1639863830
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63766 Issued in TX
Practice address
9121 Adams LN Ste 100
Temple, TX 76502-6251
Phone
(254) 228-5830
Fax
(254) 598-2537
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63766 TX Primary

Addresses

Primary practice location

9121 Adams LN Ste 100
Temple, TX 76502-6251

Mailing address

5293 S 31St St Ste 137
Temple, TX 76502-3575
Phone (254) 228-5830

Other names 1

  • Indy Nesby 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
63766TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Shepherds New Pathways, LLC Professional CurrentSince Jun 1, 2023 Accepting new patients
The Shepherds New Pathways, LLC Professional CurrentSince Jun 1, 2023 Accepting new patients

Locations

5293 S 31st St
Ste 137
Temple, TX 76502
Phone (254) 228-5830

9121 Adams Ln
Ste 100
Temple, TX 76502
Phone (254) 228-5830

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1639863830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5293 S 31ST ST STE 137",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023575",
            "telephone_number": "254-228-5830",
            "fax_number": "254-598-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 ADAMS LN STE 100",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765026251",
            "telephone_number": "254-228-5830",
            "fax_number": "254-598-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "INDY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDY",
            "last_name": "NESBY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.