Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801329289 Individual Practitioner Female Practitioner

Keeli Lauran Vicencio , LPCC

Counselor - Professional • Delaware, OH

Professional Overview & Biography Verified Profile Summary

Keeli Vicencio, LPCC is a registered healthcare professional specializing in Counselor - Professional in Delaware, OH. Practice services are available at 163 N SANDUSKY ST STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

163 N Sandusky St Ste 104

Delaware, OH 430151778

Telephone 3123885101
Associated Practice Facility / Clinic
🏢 Mind Over Matter Counseling Facility NPI 1639634629

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Delaware, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Delaware, OH (6923 Statewide)

Telehealth Adoption Rate
3.6% 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: 2026-03-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E1500017

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1473276 (OH)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Kellie Dawson , LISW-S

Social Worker - Clinical

NPI 1053429605

LISWS

Cecelia Monahan , LPCC

Counselor - Mental Health

NPI 1821763095

Licensed Professional Clinical Counselor

Career & Practice History Timeline

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

19 Historical Events
📍
Updated Practice Location March 12, 2026

Registered at 163 N SANDUSKY ST STE 104, DELAWARE, OH 430151778 (Tel: 3123885101)

📍
Updated Business Mailing Address March 12, 2026

Registered at 163 N SANDUSKY ST STE 104, DELAWARE, OH 430151778 (Tel: 3123885101)

👤
Provider Name / Credentials Updated March 12, 2026

Recorded as KEELI VICENCIO, LPCC

📍
Updated Practice Location June 28, 2018

Registered at 500 E MAIN ST, COLUMBUS, OH 43215 (Tel: 6143556340)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2018

Counselor (License #E1500017 in OH)

NPI Profile Active November 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2017

Registered at 495 E MAIN ST, COLUMBUS, OH 432155349 (Tel: 6143558005)

📍
Updated Business Mailing Address November 16, 2017

Registered at DEPT. 781625, PO BOX 78000, DETROIT, MI 482781625 (Tel: 6143558004)

👤
Provider Name / Credentials Updated November 16, 2017

Recorded as KEELI COOK, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2017

Counselor (License #E1500017 in OH)

📍
Updated Practice Location September 01, 2017

Registered at 495 E MAIN ST, COLUMBUS, OH 432155349 (Tel: 6143558005)

📍
Updated Business Mailing Address September 01, 2017

Registered at DEPT. 781625, PO BOX 78000, DETROIT, MI 482781625 (Tel: 6143558004)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2017

Counselor (License #E1500017 in OH)

NPI Profile Active April 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 04, 2017

Registered at 92 NORTHWOODS BLVD, COLUMBUS, OH 432354720 (Tel: 6148419762)

📍
Updated Business Mailing Address April 04, 2017

Registered at 3153 DEVONSHIRE DR, DELAWARE, OH 430158420 (Tel: 3123885101)

👤
Provider Name / Credentials Updated April 04, 2017

Recorded as KEELI COOK, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2017

Counselor (License #1500017 in OH)

🟢
Initial NPI Registration & Enumeration April 04, 2017

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: 1801329289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2017
Last Update: March 12, 2026
Sole Proprietor: No

Mailing Address

163 N Sandusky St Ste 104

Delaware, OH 430151778

Phone: 3123885101

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.