Active NPI
Emily Ruha Keller, LPCC
- Counselor
- Livermore, CA
National Provider Identifier
1205214483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 10821
- 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
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 | 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Keller Licensed Professional Clinical Counselor PC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Livermore, CA
- NPI 1740169259
-
- Local Education Agency (LEA)
- Chapel Hill, NC
- NPI 1992886436
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.