Madison Marie Keller

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1210 Cottonwood Creek TRL Ste 300
Cedar Park, TX 78613-2688

Phone

(833) 966-2730

NPI assigned

Oct 3, 2023

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1043090491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 GREATEST GIFT WAY",
            "city": "JARRELL",
            "state": "TX",
            "postal_code": "765371988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 COTTONWOOD CREEK TRL STE 300",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132688",
            "telephone_number": "833-966-2730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 N Georgetown St",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786643289",
            "country_code": "US",
            "telephone_number": "844-309-6385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MADISON",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Keiling, COTA
• Stephanie Michelle Keiningham, LAT
• Elizabeth Keiser
• Gregory Alexander Keller, ATC, NREMT
• Jamie Dee Keller, LVN, BCPA
• Douglas Farrell Kelley, DPT
• Andrea Kelly, CPM, LM
• Marguerite Jane Kelly, IBCLC
• Emily Kelso, PT, DPT
• Cartelia Kennedy, LPC, NCC

• Mental Health Counselor in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.