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MR. MICHAEL SHAWN KELLERMAN LMHC SAP MAC CAP CCJ
NPI 1568535235
Counselor - Addiction (Substance Use Disorder) in St Petersburg, FL

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
3110 1ST AVE N 2ND FLOOR SUITE 6W, ST PETERSBURG, FL 33733(727) 580-9117(813) 961-9787 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2025, Sep 11, 2025 (2 updates tracked since 2025).

About Mr. Michael Shawn Kellerman Lmhc Sap Mac Cap Ccj NPPES

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

MR. MICHAEL SHAWN KELLERMAN LMHC SAP MAC CAP CCJ (NPI 1568535235) is an individual addiction (substance use disorder) provider in St Petersburg, Florida, licensed in Florida (1533CAT1533) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1568535235
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MICHAEL SHAWN KELLERMANCredential: LMHC SAP MAC CAP CCJ
Location Address3110 1ST AVE N 2ND FLOOR SUITE 6WSt Petersburg, FL 33733-6524
Mailing AddressPo Box 16524St Petersburg, FL 33733-6524 · (727) 580-9117 · Fax (813) 961-9787
Phone(727) 580-9117
Fax(813) 961-9787
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 17, 2006
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1568535235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in FL · 1533CAT1533
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH3987 (FL)
3110 1ST AVE N 2ND FLOOR SUITE 6W, St Petersburg, FL 33733
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Shawn Kellerman Lmhc Sap Mac Cap Ccj is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507358066
PECOS Enrollment IDI20251121002833
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Kellerman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arg Innovations LLC
20 mi
Mental Health
5801 21ST AVE W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1750099222 (941) 914-0230

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Kellerman's NPI number?

The NPI number for Michael Kellerman is 1568535235. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Michael Kellerman located?

Michael Kellerman practices at 3110 1st Ave N 2nd Floor Suite 6W, St Petersburg, FL 33733. The listed phone number is (727) 580-9117.

What is Michael Kellerman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Michael Kellerman enrolled in Medicare?

Yes. Michael Kellerman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Kellerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kellerman reassigns Medicare benefits to Arg Innovations LLC (Bradenton, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Kellerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Kellerman accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Michael Kellerman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Kellerman was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.