Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Keller, LPC-IT

Individual provider Mental Health Counselor · NPI 1588112643

Kelly Keller, LPC-IT is a Mental Health Counselor in Madison, Wisconsin. Qualified in 2016, 10 years ago. Works from 2 locations. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2016
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Practice location Address checks out

6333 Odana Rd Ste 20
Madison, WI 53719-1130
Phone: (608) 270-2511
Fax: (608) 270-0467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 348 E Main St, Reedsburg, WI 53959-1940 — (608) 495-9284

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3227 - 226 (WI)

Record details

NPI number1588112643
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedSeptember 19, 2016
Last updated in NPPESJanuary 3, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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