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BURCHEL LYMAN KELLER LISW-CP
NPI 1962794461
Social Worker - Clinical in Simpsonville, SC

Active since May 03, 2011PECOS Enrolled
911 BERWICK DR, SIMPSONVILLE, SC 29681(864) 630-0747 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Burchel Lyman Keller Lisw-cp NPPES

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

BURCHEL LYMAN KELLER LISW-CP (NPI 1962794461) is an individual clinical provider in Simpsonville, South Carolina, licensed in South Carolina (11287) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Simpsonville.

NPPES Registry Identity

NPI1962794461
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBURCHEL LYMAN KELLERCredential: LISW-CP
Location Address911 BERWICK DRSimpsonville, SC 29681-4196
Mailing Address911 Berwick DrSimpsonville, SC 29681-4196 · (864) 630-0747
Phone(864) 630-0747
Sole ProprietorNo
Enumeration DateMay 3, 2011
Last NPPES UpdateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1962794461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in SC · 11287
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
911 BERWICK DR, Simpsonville, SC 29681
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Secondary Practice Location 1

Location 120 Powderhorn RdSimpsonville, SC 29681-3399 · Phone (864) 963-3421

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Burchel Lyman Keller Lisw-cp 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.

Medicare Billing Reassignment

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

Direct Access Counseling & Supportive Services, LLC
519 mi
Mental Health (Including Community Mental Health Center)
223 E OAK ST APT 3
Arcadia, FL 34266
  • Reassigned Medicare billing, South Carolina enrollment
  • 4 clinicians in this Medicare group
NPI 1679011449 (239) 652-0260

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29681 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Burchel Keller's NPI number?

The NPI number for Burchel Keller is 1962794461. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Where is Burchel Keller located?

Burchel Keller practices at 911 Berwick Dr, Simpsonville, SC 29681. The listed phone number is (864) 630-0747.

What is Burchel Keller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Burchel Keller enrolled in Medicare?

Yes. Burchel Keller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Burchel Keller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Burchel Keller reassigns Medicare benefits to Direct Access Counseling & Supportive Services, LLC (Arcadia, 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 Burchel Keller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Burchel Keller was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.