Erin Keller LCSW

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ERIN KELLER LCSW

Practice address

325 A St Ste 3
Ashland, OR 97520-1970

Phone

(541) 324-2690

NPI assigned

Mar 2, 2019

Organization subpart

No

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

Authorized official

Name

Melynda Owens

Title

Billing & Credentialing Manager

Phone

(415) 500-8655

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Louise Keller, LMSW

  • Clinical Social Worker
  • Ashland, OR
  • NPI 1023386760
  Medicare reassignment NPD

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

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1144788779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4752",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010197",
            "telephone_number": "541-500-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 A ST STE 3",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201970",
            "telephone_number": "541-324-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN KELLER LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-02",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "MELYNDA",
        "authorized_official_title_or_position": "BILLING & CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "415-500-8655"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Steven England, OD
• Gordon Enns, MD
• William Stuart Epstein, MD
• Daniel Thomas Erchul, CRNA
• Peter Erickson, LPC
• Ray Estes
• Esther Mortensen LLC
• Evans & Company Healthcare PC
• Robert Henry Ewing Jr., MD
• Excel Medical Billing

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ashland, OR
• Providers in Ashland, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.