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

Mr. Michael Shawn Kellerman, LMHCSAPMACCAPCCJ

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568535235

Mr. Michael Shawn Kellerman, LMHCSAPMACCAPCCJ is a Mental Health Counselor in St Petersburg, Florida. Qualified in 1993, 33 years ago. Practices with Arg Innovations LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
33
Licensed in
FL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

3110 1st Ave N 2nd Fl Ste 6W
St Petersburg, FL 33733-6524
Phone: (727) 580-9117
Fax: (813) 961-9787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1533CAT1533 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH3987 (FL)

Record details

NPI number1568535235
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHCSAPMACCAPCCJ
Sole proprietorNo
NPI enumeratedNovember 17, 2006
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Arg Innovations Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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