Jordan Kellciut

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

146 Monroe Center St NW
Grand Rapids, MI 49503-2825

Phone

(616) 209-8854

NPI assigned

Jul 14, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1326967167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MONROE CENTER ST NW STE 425",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032843",
            "telephone_number": "269-779-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MONROE CENTER ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032825",
            "telephone_number": "616-209-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLCIUT",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Anthony Keith, ATC
• Abigail M.G. Keizer, BCBA, LBA
• Mya Jolee Kekel
• Sandin Kekic, OTD, OTR/L
• Theodore Edward Kelbel, M.D.
• Abigail Keller, DPT
• Andrea Rae Keller
• Breanne Keller
• John F. Keller, M.D.
• Kurt David Keller, LMSW

• All providers in Grand Rapids, MI
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.