Active NPI
Chedra Lynn Keller, LPC
- Professional Counselor
- Bartlesville, OK
National Provider Identifier
1831337567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 2362
- Practice address
- 615 SE Frank Phillips Blvd
Bartlesville, OK 74003-3918 - Phone
- (918) 336-1188
- Fax
- (918) 336-2933
- NPI assigned
- Feb 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | LPC 2362 | OK | Primary |
Addresses
Primary practice location
615 SE Frank Phillips Blvd
Bartlesville, OK 74003-3918
Mailing address
615 SE Frank Phillips Blvd
Bartlesville, OK 74003-3918
Phone (918) 336-1188
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 2362 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1831337567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SE FRANK PHILLIPS BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740033918",
"telephone_number": "918-336-1188",
"fax_number": "918-336-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SE FRANK PHILLIPS BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740033918",
"telephone_number": "918-336-1188",
"fax_number": "918-336-2933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "CHEDRA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-03",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "LPC 2362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.