Tracie L Keller, LPCC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.1300121 Issued in OH

Legal business name

TRACIE L KELLER, LPCC, LLC

Practice address

6797 N High St
Suite 212
Worthington, OH 43085-2533

Phone

(614) 822-7819

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Tracie L Keller

Title

Owner

Phone

(614) 822-7819

Specialties & licenses 1

Addresses

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.

• Tracie L Keller, LPCC, LLC

  • Professional Counselor
  • Columbus, OH
  • NPI 1770960650
  NPD tax ID

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1801295233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6797 N HIGH ST",
            "address_2": "SUITE 212",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6797 N HIGH ST",
            "address_2": "SUITE 212",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852533",
            "telephone_number": "614-822-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACIE L KELLER, LPCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "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"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1300121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ryan Trimmer

• Professional Counselor in Worthington, OH
• Providers in Worthington, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.