Sue Keller Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149.018211 Issued in IL

Legal business name

SUE KELLER COUNSELING LLC

Practice address

505 W University Ave
Suite 4
Champaign, IL 61820-3915

Phone

(217) 607-9256

NPI assigned

Feb 7, 2016

Organization subpart

No

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

Authorized official

Name

Susan Keller, LCSW

Title

Counselor

Phone

(217) 607-9256

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1454803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454803200000",
    "number": "1992163844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W UNIVERSITY AVE",
            "address_2": "SUITE 4",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203915",
            "telephone_number": "217-607-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W UNIVERSITY AVE",
            "address_2": "SUITE 4",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203915",
            "telephone_number": "217-607-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE KELLER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-07",
        "last_updated": "2016-02-07",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "217-607-9256",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149.018211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Strom, LSW
• April Dawn Sturgill
• Erin Sturm, LCPC
• Lydia Yanghee Su, LPC
• Mia Sudkamp, LMFT
• Andy Elias Sullivan, B.S.
• Ria Sumitro
• Hannah Summers
• Jennifer Ann Marie Summers, MSW, LCSW
• Sumuk Sundaram, M.D.

• Community/Behavioral Health Agency in Champaign, IL
• Providers in Champaign, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; 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.