Active NPI
Valerie Irene Keller, MFTI
- Counselor
- San Rafael, CA
National Provider Identifier
1144494063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- IMF44669
- Practice address
- 1 Saint Vincents Dr
San Rafael, CA 94903-1504 - Phone
- (415) 507-2000
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IMF44669 | CA | Primary |
Addresses
Primary practice location
1 Saint Vincents Dr
San Rafael, CA 94903-1504
Mailing address
420 4TH Street
San Rafael, CA 94901
Phone (510) 331-5674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF44669 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1144494063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 4TH STREET",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "94901",
"telephone_number": "510-331-5674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT VINCENTS DR",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949031504",
"telephone_number": "415-507-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "VALERIE",
"middle_name": "IRENE",
"credential": "MFTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "IMF44669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.