Active NPI
Mackenzie Keller, MA, PPSC
- School Counselor
- Scotts Valley, CA
National Provider Identifier
1376344333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 190183182
- Practice address
- 151 Vine Hill School Rd
Scotts Valley, CA 95066-3211 - Phone
- (831) 438-1090
- NPI assigned
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | CA | ||
| School Counselor | 101YS0200X | 190183182 | CA | Primary |
Addresses
Primary practice location
151 Vine Hill School Rd
Scotts Valley, CA 95066-3211
Mailing address
151 Vine Hill School Rd
Scotts Valley, CA 95066-3211
Phone (831) 438-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190183182 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1376344333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 VINE HILL SCHOOL RD",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950663211",
"telephone_number": "831-438-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 VINE HILL SCHOOL RD",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950663211",
"telephone_number": "831-438-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "MACKENZIE",
"credential": "MA, PPSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-24",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "190183182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.