Active NPI
Julie Anna Keller, LMFT
- Marriage & Family Therapist
- Roseville, CA
National Provider Identifier
1366098725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1891241634
- Practice address
- 700 Gibson Dr Apt 1713
Roseville, CA 95678-5762 - Phone
- (775) 830-7739
- NPI assigned
- Aug 12, 2019
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1891241634 | CA | Primary |
Addresses
Primary practice location
700 Gibson Dr Apt 1713
Roseville, CA 95678-5762
Mailing address
700 Gibson Dr Apt 1713
Roseville, CA 95678-5762
Phone (775) 830-7739
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240304002352 | CA | Practitioner - Mental Health Counselor | 6507201241 | Practice locations: Roseville, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
700 Gibson Dr Apt
Suite 1713
Roseville, CA 95678-5762
901 Sunrise Ave
Suite A3
Roseville, CA 95661-4520
Phone (279) 219-9529
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1891241634 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keller Care LMFT | Current | Accepting new patients | |
| Environmental Alternatives | Case Manager/Care Coordinator | Past | Accepting new patients |
Locations
901 Sunrise Ave
Ste A3
Roseville, CA 95661
Phone (279) 219-9529
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.
-
- PACE Provider Organization
- Roseville, CA
- NPI 1760106744
-
- Community/Behavioral Health Agency
- Quincy, CA
- NPI 1891241634
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1366098725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 GIBSON DR APT 1713",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956785762",
"telephone_number": "775-830-7739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 GIBSON DR APT 1713",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956785762",
"telephone_number": "775-830-7739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "JULIE",
"middle_name": "ANNA",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2024-06-10",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "1891241634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.