Individual provider Active NPI

Emily Ruha Keller, LPCC

  • Counselor
  • Livermore, CA
National Provider Identifier
1205214483
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
10821 Issued in CA
Practice address
3179 Independence Dr
Livermore, CA 94551-7595
Phone
(925) 290-0036
NPI assigned
May 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 10821 CA Primary

Addresses

Primary practice location

3179 Independence Dr
Livermore, CA 94551-7595

Mailing address

659 Edwards Ridge Rd
Chapel Hill, NC 27517-8780
Phone (919) 929-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260521001219 CA Practitioner - Mental Health Counselor 5395214167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3179 Independence Dr
Livermore, CA 94551-7595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Keller Licensed Professional Clinical Counselor PC Mental Health CurrentSince Sep 3, 2025 Accepting new patients
Southeast Institute Past Accepting new patients

Locations

3179 Independence Dr
Livermore, CA 94551
Phone (925) 290-0036

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": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1205214483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 EDWARDS RIDGE RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178780",
            "telephone_number": "919-929-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3179 INDEPENDENCE DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517595",
            "telephone_number": "925-290-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "EMILY",
        "middle_name": "RUHA",
        "name_prefix": "Dr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "10821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.