Natasha Ann Keller, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3651 Issued in MN

Practice address

2179 4TH St Ste 2F
White Bear Lake, MN 55110-3041

Phone

(651) 360-1995

Fax

(651) 666-1379

NPI assigned

Sep 22, 2020

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lake and Valley Family Therapy LLC

  • Marriage & Family Therapist
  • White Bear Lake, MN
  • NPI 1578262333
  Medicare reassignment NPD Authorized official
• Momenta Mental Health

  • Adolescent and Children Mental Health Clinic/Center
  • White Bear Lake, MN
  • NPI 1215692785
  NPD
• Rowlison Diversified Investments

  • Counselor
  • Woodbury, MN
  • NPI 1346531894
  NPD

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1578179727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 4TH ST STE 2F",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103041",
            "telephone_number": "651-360-1995",
            "fax_number": "651-666-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 4TH ST STE 2F",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103041",
            "telephone_number": "651-360-1995",
            "fax_number": "651-666-1379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 Wooddale Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252993",
            "country_code": "US",
            "telephone_number": "651-983-7892 x231",
            "fax_number": "651-212-4884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "NATASHA",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-04-09",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne M Kappel Geib, DDS
• Kathleen B Keane, LP
• Elsa N Keeler, MD
• Gretchen Kaye Keene, DC
• Jenna Keller, MD
• Brittany Kelly
• Patrick Kenzie, RPH
• Emma Katherine Kessler
• Kevin M Quaas Inc
• Zoey Kieffer

• Marriage & Family Therapist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.