Active NPI
Peggy Lynn Keller, RN, LMHC
- Mental Health Counselor
- Wellsville, NY
National Provider Identifier
1548595069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001015-1
- Practice address
- 4222 Bolivar Rd
Wellsville, NY 14895-9332 - Phone
- (585) 593-1655
- Fax
- (585) 593-1868
- NPI assigned
- Oct 16, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001015-1 | NY | Primary |
Addresses
Primary practice location
4222 Bolivar Rd
Wellsville, NY 14895-9332
Mailing address
4222 Bolivar Rd
Wellsville, NY 14895-9332
Phone (585) 593-1655
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001015-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255651200000",
"number": "1548595069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4222 BOLIVAR RD",
"city": "WELLSVILLE",
"state": "NY",
"postal_code": "148959332",
"telephone_number": "585-593-1655",
"fax_number": "585-593-1868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4222 BOLIVAR RD",
"city": "WELLSVILLE",
"state": "NY",
"postal_code": "148959332",
"telephone_number": "585-593-1655",
"fax_number": "585-593-1868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "PEGGY",
"middle_name": "LYNN",
"credential": "RN, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-16",
"last_updated": "2009-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "001015-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.