NPIMap

Organization Active NPI

Tracie L Keller, LPCC, LLC

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1770960650
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0900503-SUPV Issued in OH
Legal business name
TRACIE L KELLER, LPCC, LLC
Practice address
1080 Fishinger Rd Ste 103
Columbus, OH 43221-2302
Phone
(614) 822-7819
Fax
(614) 372-5590
NPI assigned
Apr 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Tracie L Keller, LPCC-SNPI 1003160219
Title
Owner
Phone
(614) 822-7819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X E.0900503-SUPV OH Primary

Addresses

Primary practice location

1080 Fishinger Rd Ste 103
Columbus, OH 43221-2302

Mailing address

1080 Fishinger Rd Ste 103
Columbus, OH 43221-2302
Phone (614) 822-7819

Other names 1

  • Keller Counseling and Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Keller Counseling and Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1080 Fishinger Rd
Ste 103
Columbus, OH 43221
Phone (614) 822-7819

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1770960650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 FISHINGER RD STE 103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212302",
            "telephone_number": "614-822-7819",
            "fax_number": "614-372-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 FISHINGER RD STE 103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212302",
            "telephone_number": "614-822-7819",
            "fax_number": "614-372-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACIE L KELLER, LPCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-822-7819",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900503-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keller Counseling and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.