STEPHANIE KEATHLEY LPC
NPI 1548648496
Counselor in Southgate, MI

Active since May 12, 2015PECOS Enrolled
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195(734) 324-8326(734) 324-8327 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephanie Keathley Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE KEATHLEY LPC (NPI 1548648496) is an individual counselor in Southgate, Michigan, licensed in Michigan (6401014756) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548648496
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSTEPHANIE KEATHLEYCredential: LPC
Location Address14799 DIX TOLEDO RDSouthgate, MI 48195-2507
Mailing Address25170 Superior RdTaylor, MI 48180-4517 · (313) 929-4747
Fax(734) 324-8327
Sole ProprietorYes
Enumeration DateMay 12, 2015
Last NPPES UpdateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
NPI 1548648496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MI · 6401014756
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

14799 DIX TOLEDO RD, Southgate, MI 48195

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Keathley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Counselor (Addiction (Substance Use Disorder))
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Community/Behavioral Health
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548648496, enumerated as an "individual" on May 12, 2015.

The provider is located at 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 and the phone number is (734) 324-8326.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.