Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205557170 Individual Practitioner Female Practitioner

Holly Keller

Counselor - Professional • Canton, OH

Professional Overview & Biography Verified Profile Summary

Holly Keller is a registered healthcare professional specializing in Counselor - Professional in Canton, OH. Practice services are available at 4522 FULTON DR NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4522 Fulton Dr Nw

Canton, OH 447182332

Telephone 3309152907
Associated Practice Facility / Clinic
🏢 Wellness Grove, Llc Facility NPI 1043899859

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
316 Specialists

Practicing in Canton, OH (6923 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-05
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH C.2204560

Definition to come...

Secondary Practice Locations

2795 Front St Ste A

Cuyahoga Falls, OH 442211900

Phone: 3305104900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Alexis Gibbs , LPC

Counselor - Professional

NPI 1003623331

Licensed Professional Counselor

NPI 1013403211

Licensed Professional Counselor

NPI 1013725589
NPI 1023654852

Licensed Social Worker

Ashley Kaminski , LPC

Counselor - Professional

NPI 1023799749

Licensed Professional Counselor

NPI 1023845807

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 05, 2023

Registered at 4522 FULTON DR NW, CANTON, OH 447182332 (Tel: 3309152907)

📍
Updated Business Mailing Address October 05, 2023

Registered at 4200 MUNSON ST NW STE A, CANTON, OH 447182981 (Tel: 3309152907)

NPI Profile Active September 08, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2022

Registered at 2795 FRONT ST STE A, CUYAHOGA FALLS, OH 442211900 (Tel: 3305104900)

📍
Updated Business Mailing Address September 08, 2022

Registered at 2795 FRONT ST STE A, CUYAHOGA FALLS, OH 442211900 (Tel: 3305104900)

👤
Provider Name / Credentials Updated September 08, 2022

Recorded as HOLLY KELLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2022

Counselor (License #C.2204560 in OH)

🟢
Initial NPI Registration & Enumeration September 08, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205557170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2022
Last Update: October 05, 2023
Sole Proprietor: No

Mailing Address

4200 Munson St Nw Ste A

Canton, OH 447182981

Phone: 3309152907

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.