Ivy Rose Keller

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

389 Main St FL 3
Malden, MA 02148-5054

Phone

(617) 804-2773

NPI assigned

Oct 23, 2023

Last updated

Aug 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

• Northeast Behavioral Health Corporation

  • Community/Behavioral Health Agency
  • Lawrence, MA
  • NPI 1114638657
  NPD

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1063284289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAPLE ST",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019492228",
            "telephone_number": "978-395-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 MAIN ST FL 3",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485054",
            "telephone_number": "617-804-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "IVY",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Kasozi
• Julia Simone Kaufman, PHD
• Ravneet Kaur
• Ojeny L Kavlakian
• Efthalia Fay Kaynor, MD
• Natalie Kellogg
• Andrea Manning Kelly, LMHC
• Heather Kelly
• Erica Kelman
• Laurence Henry Kendall, D.C.

• Mental Health Counselor in Malden, MA
• Providers in Malden, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.