Heather Keller

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

20 E White Mountain Blvd
Lakeside, AZ 85929-6807

Phone

(480) 389-4519

NPI assigned

Sep 18, 2008

Last updated

Feb 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• H3 for You, PLLC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1669027108
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1003065632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E WHITE MOUNTAIN BLVD STE A5-118",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859296807",
            "telephone_number": "480-389-4519",
            "fax_number": "480-637-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E WHITE MOUNTAIN BLVD",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859296807",
            "telephone_number": "480-389-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Moffat MD PLLC
• Jeffrey M Reagan MD PLLC
• Jeffrey R Lesueur MD PC
• Jibaro Medical Clinic PLLC
• John J Sullivan, DDS, PC
• Kent Walter Cox MD PS
• Thomas Melvin Kessler, M.D.
• Melissa Ann Kyrimis, MD
• Kathy Lacapa-Boegl, M.S.-CCC-SLP
• Lakeside Family Health Center PC

• Professional Counselor in Lakeside, AZ
• Providers in Lakeside, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.