STEPHANIE KEATHLEY LPC
NPI 1548648496
Counselor in Southgate, MI

Q: What is Stephanie Keathley's NPI number?

The NPI number for Stephanie Keathley is 1548648496. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Q: What is Stephanie Keathley's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

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: August 16, 2026.

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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

Phone(734) 324-8326

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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.

MS. CELESTE PATRICIA ALLEN SST

Social Worker