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SHANNA RANAE KELLER
NPI 1912488750
Counselor - Mental Health in Fort Wayne, IN

Active since August 28, 2018
909 E STATE BLVD, FORT WAYNE, IN 46805(260) 482-9125 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shanna Ranae Keller NPPES

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

SHANNA RANAE KELLER (NPI 1912488750) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1912488750
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNA RANAE KELLER
Location Address909 E STATE BLVDFort Wayne, IN 46805-3458
Mailing Address909 E State BlvdFort Wayne, IN 46805-3458 · (260) 482-9125
Phone(260) 482-9125
Sole ProprietorNo
Enumeration DateAugust 28, 2018
✔ NPI 1912488750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
909 E STATE BLVD, Fort Wayne, IN 46805
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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.

COURTNEY LESLEY WASHINGTON
Counselor
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
JENNIFER PERRY MS
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MICHELLE ELISE WIESE MD
Psychiatry & Neurology (Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
SARAH MICHELLE MOORE APRN-CNM, PMHNP-BC
Nurse Practitioner
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
JULIE NAY WINN BS
Case Manager/Care Coordinator
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
TONYA J EIDEN LMHC, MS
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
ANGELA C DESPENZA LPN
Licensed Practical Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MEGAN I FIGUEROA RN
Registered Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700

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 Shanna Keller's NPI number?

The NPI number for Shanna Keller is 1912488750. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Shanna Keller located?

Shanna Keller practices at 909 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 482-9125.

What is Shanna Keller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shanna Keller was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.