Individual provider Active NPI

Joshua Keller, LPC

  • Professional Counselor
  • Danville, VA
National Provider Identifier
1114637147
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011977 Issued in VA
Practice address
105 Vicar PL
Danville, VA 24540-1241
Phone
(434) 728-0794
NPI assigned
Nov 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701011977 VA Primary

Addresses

Primary practice location

105 Vicar PL
Danville, VA 24540-1241

Mailing address

105 Vicar PL
Danville, VA 24540-1241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718000222 VA Practitioner - Mental Health Counselor 7517403215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family of Hands LLCGroup PAC ID 9335684554, 5 clinicians

Practice addresses (Care Compare)

105 Vicar PL
Danville, VA 24540-1241
Phone (434) 272-8372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701011977VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family of Hands, LLC Professional CurrentSince May 14, 2024 Accepting new patients
Pai Participant 1 LLC Past Accepting new patients

Locations

500 Piney Forest Rd
Danville, VA 24540
Phone (434) 272-8372

105 Vicar Pl
Danville, VA 24540
Phone (434) 272-8372

709 River Ridge Rd
Danville, VA 24541
Phone (434) 272-8372

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1114637147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VICAR PL",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VICAR PL",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401241",
            "telephone_number": "434-728-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JOSHUA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.