Individual provider Active NPI

Kathianne Keller, LCPC, LMAC

  • Professional Counselor
  • Paola, KS
National Provider Identifier
1811619653
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04171 Issued in KS
Practice address
25955 W 327TH St
Paola, KS 66071-4920
Phone
(913) 557-9096
Fax
(913) 294-9247
NPI assigned
Sep 19, 2022
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01183 KS
Professional Counselor 101YP2500X 04171 KS Primary

Addresses

Primary practice location

25955 W 327TH St
Paola, KS 66071-4920

Mailing address

5143 W 75TH St
Prairie Village, KS 66208-4401
Phone (660) 888-1304

Other practice location 1

501 S Hospital Dr
Paola, KS 66071-2103
Phone (913) 557-9096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107001617 KS Practitioner - Mental Health Counselor 9032695358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth Layton Center IncGroup PAC ID 1557255940, 25 clinicians

Practice addresses (Care Compare)

25955 W 327TH St
Paola, KS 66071-4920
Phone (913) 557-9096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01183KSMDAddiction (Substance Use Disorder) Counselor
04171KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Psychological CurrentSince Sep 25, 2022 Accepting new patients
Elizabeth Layton Center, Inc. CurrentSince Dec 29, 2025 Accepting new patients
Elizabeth Layton Center, Inc. PastSince Feb 8, 2023 Accepting new patients

Locations

4701 College Blvd
Ste 115
Leawood, KS 66211
Phone (913) 777-4020

2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183

25955 W 327th St
Paola, KS 66071
Phone (913) 557-9096

501 S Hospital Dr
Paola, KS 66071
Phone (816) 816-4700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1811619653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5143 W 75TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084401",
            "telephone_number": "660-888-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25955 W 327TH ST",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660714920",
            "telephone_number": "913-557-9096",
            "fax_number": "913-294-9247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Paola",
            "state": "KS",
            "postal_code": "660712103",
            "country_code": "US",
            "telephone_number": "913-557-9096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KATHIANNE",
        "credential": "LCPC, LMAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "01183",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

Verify at the official NPI Registry.