Bridget Keller

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

14355 SW Allen Blvd Ste 150
Beaverton, OR 97005-4741

Phone

(503) 828-3402

NPI assigned

Jul 29, 2018

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Wolf Pack Consulting and Therapeutic Services LLC

  • Mental Health Counselor
  • Beaverton, OR
  • NPI 1336677988
  NPD (past)

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532822400000",
    "number": "1396223756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 SW AUDUBON ST UNIT 103",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032777",
            "telephone_number": "774-279-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14355 SW ALLEN BLVD STE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054741",
            "telephone_number": "503-828-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "BRIDGET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-29",
        "last_updated": "2018-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Keefner, APC
• Helen E Keene
• Mackensie Marie Keiner, MSW, CSWA, QMHP
• Keith R Larson DMD PC
• Tyler Keliiheleua, N.D.
• David Larsen Keller, DMD
• Stephanie Michelle Keller
• Cathryn Grace Kellett
• Lars Edward Kellow, DPT
• Ally Kemp

• Mental Health Counselor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; 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.