Individual provider Active NPI

Keley Anne Smith-Keller, LPC

  • Professional Counselor
  • Yankton, SD
National Provider Identifier
1730646191
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC882 Issued in SD
Practice address
1105 W 8TH St
Yankton, SD 57078-3725
Phone
(605) 668-1363
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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 LPC882 SD Primary

Addresses

Primary practice location

1105 W 8TH St
Yankton, SD 57078-3725

Mailing address

1901 Cedar St
Yankton, SD 57078-2120
Phone (605) 670-0407

Other practice location 1

1901 Cedar St
Yankton, SD 57078-2120
Phone (605) 670-0407

Other identifiers 1

IdentifierTypeStateIssuer
14411667OtherCAQH

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
LPC882SDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1730646191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CEDAR ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782120",
            "telephone_number": "605-670-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W 8TH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783725",
            "telephone_number": "605-668-1363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Yankton",
            "state": "SD",
            "postal_code": "570782120",
            "country_code": "US",
            "telephone_number": "605-670-0407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH-KELLER",
        "first_name": "KELEY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14411667",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.