Angela M Keller, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PCO11656 Issued in PA

Practice address

10 South Los Robles Court
Reading, PA 19606

Phone

(484) 599-2640

NPI assigned

Sep 4, 2019

Last updated

May 9, 2022By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Tranquil Lotus Counseling, LLC

  • Mental Health Counselor
  • Wyomissing, PA
  • NPI 1538848882
  Medicare reassignment NPD Authorized official
• Black Lotus Counseling

  • Professional Counselor
  • Reading, PA
  • NPI 1831833672
  NPD Authorized official
• Integrative Health & Healing, Inc

  dba Integrative Pulmonary Associates

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1790975621
  NPD
• True Life Coaching LLC

  dba Aloha Care Therapy

  • Professional Counselor
  • Las Vegas, NV
  • NPI 1548771454
  NPD

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1114576048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 100A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465625",
            "telephone_number": "702-820-3061",
            "fax_number": "702-935-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SOUTH LOS ROBLES COURT",
            "city": "READING",
            "state": "PA",
            "postal_code": "19606",
            "telephone_number": "484-599-2640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 S Jones Blvd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465625",
            "country_code": "US",
            "telephone_number": "702-820-3061 x1",
            "fax_number": "702-935-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2022-05-09",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP2927-R",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PCO11656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "amnk1979@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "unknown",
            "address_1": "904 Laurel Blvd",
            "city": "Pottsville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "179012324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sojeet Kaur, PHARMD
• Keehnkids
• Holly Beth Kegerise, B.A.
• Debra A Keim, MS, CCC-SLP
• Mary Kelleher, M.D.
• Tyler Michael Keller
• Kelli Schulthess LPC Counseling LLC
• Francis L Keltz
• Lentoya D Kemp, BA
• Maureen A Kennedy, SLP

• Mental Health Counselor in Reading, PA
• Providers in Reading, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.