KATHIANNE KELLER LCPC, LMAC
NPI 1811619653
Counselor - Professional in Paola, KS

Q: What is Kathianne Keller's NPI number?

The NPI number for Kathianne Keller is 1811619653. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Q: What is Kathianne Keller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kathianne Keller was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 19, 2022PECOS EnrolledAccepts Medicare Assignment

25955 W 327TH ST, PAOLA, KS 66071(913) 557-9096(913) 294-9247 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, Sep 19, 2022 (2 updates tracked since 2022).

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About Kathianne Keller Lcpc, Lmac NPPES

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

KATHIANNE KELLER LCPC, LMAC (NPI 1811619653) is an individual professional provider in Paola, Kansas, licensed in Kansas (04171) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Paola, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811619653

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKATHIANNE KELLERCredential: LCPC, LMAC

Location Address25955 W 327TH STPaola, KS 66071-4920

Mailing Address5143 W 75th StPrairie Village, KS 66208-4401 · (660) 888-1304

Phone(913) 557-9096

Fax(913) 294-9247

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 19, 2022

Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1811619653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KS · 04171

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 01183 (KS)

25955 W 327TH ST, Paola, KS 66071

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Secondary Practice Location 1

Location 1501 S Hospital DrPaola, KS 66071-2103 · Phone (913) 557-9096

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathianne Keller Lcpc, Lmac 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 ID9032695358

PECOS Enrollment IDI20260107001617

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.

AMY WACKER LPC

Counselor (Mental Health)