Dr. William C. Kellermann , PhD, LPC
Counselor - Professional • Washington, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Kellermann has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. William Kellermann, PhD, LPC was a registered Counselor - Professional practicing in Washington, MO. Throughout an active medical career spanning 18 years, Dr. Kellermann provided care at the practice location at 475 KRAKOW RIDGE LN until profile deactivation on 2025-07-17.
Practice Location & Contact Primary Location
475 Krakow Ridge Ln
Washington, MO 630906267
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Washington, MO
Practicing in Washington, MO (5929 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 17, 2025
NPI status registered as active in NPPES database
Registered at 475 KRAKOW RIDGE LN, WASHINGTON, MO 630906267 (Tel: 6363902971)
Registered at 475 KRAKOW RIDGE LN, WASHINGTON, MO 630906267 (Tel: 6363902971)
Recorded as WILLIAM KELLERMANN, PHD, LPC
Counselor (License #2002014138 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
475 Krakow Ridge Ln
Washington, MO 630906267
Phone: 6363902971
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