Bethany Lynne Keller, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

20043354 Issued in IN

Practice address

50 E 91St St Ste 316
Indianapolis, IN 46240-1556

Phone

(317) 550-3221

Fax

(317) 550-3228

NPI assigned

Jan 19, 2009

Last updated

Jul 26, 2023By the provider in NPPES

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

Opted out of Medicare

Yes, effective May 20, 2026 through May 20, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maria P. Hanzlik, LLC

  dba Integrated Psychological Center of Indiana (IPCI)

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1720574007
  NPD (past)

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1780821355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 91ST ST STE 316",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401556",
            "telephone_number": "317-550-3221",
            "fax_number": "317-550-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 91ST ST STE 316",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401556",
            "telephone_number": "317-550-3221",
            "fax_number": "317-550-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "BETHANY",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20043354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather P Kelker, MD
• Jeffrey J Kellams, M.D.
• Mary Allison Kellen, MD
• Anniyah Keller
• Ashley Keller
• Candace Nicole Keller, COTA
• Chelsea L Keller, NP
• Colin Keller
• Danielle Nicole Keller
• Jesse Keller

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.