Heather Keller
Individual provider Active NPI Professional Counselor · Lakeside, AZ
NPI 1003065632 · NPPES record last updated Feb 15, 2021
Key facts
- NPI
- 1003065632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 20 E White Mountain Blvd
Lakeside, AZ 85929-6807 - Phone
- (480) 389-4519
- NPI assigned
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H3 for You, PLLC | Professional | Current |
Accepting new patients |
Locations
20 E White Mountain Blvd
#A5118
Lakeside, AZ 85929
Phone (602) 790-4519
20 E White Mountain Blvd
Ste A5118
Lakeside, AZ 85929
301 E Bethany Home Rd
Ste C270
Phoenix, AZ 85012
Phone (602) 790-4519
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
20 E White Mountain Blvd
Lakeside, AZ 85929-6807
Mailing address
20 E White Mountain Blvd Ste A5-118
Lakeside, AZ 85929-6807
Phone (480) 389-4519
Other providers in Lakeside, AZ
- Jeffrey M Reagan MD PLLC
- Jeffrey R Lesueur MD PC
- Scott Milton Jensen
- Jibaro Medical Clinic PLLC
- John J Sullivan, DDS, PC
- Kent Walter Cox MD PS
- Thomas Melvin Kessler
- Melissa Ann Kyrimis
- Kathy Lacapa-Boegl
- Lakeside Family Health Center PC
All providers in Lakeside, AZ · Professional Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.