Individual provider Active NPI

Donald P Keller, LPC, LCADC

  • Professional Counselor
  • Atlantic City, NJ
National Provider Identifier
1578883526
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00021600 Issued in NJ
Practice address
13 N Hartford Ave
Atlantic City, NJ 08401-3512
Phone
(609) 348-1161
Fax
(609) 348-5460
NPI assigned
Jun 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00021600 NJ Primary

Addresses

Primary practice location

13 N Hartford Ave
Atlantic City, NJ 08401-3512

Mailing address

860 NJ-168
Suite 104
Turnersville, NJ 08012
Phone (856) 617-7688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20240316000152 NJ Practitioner - Mental Health Counselor 2961848643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 S White Horse Pike
Hammonton, NJ 08037-1804
Phone (609) 561-7911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Behavioral Health, Inc. CurrentSince Jan 3, 2024 Accepting new patients
Atlanticare Behavioral Health, Inc CurrentSince Jan 3, 2024 Accepting new patients
Atlanticare Behavioral Health, Inc. Current Accepting new patients

Locations

13 N Hartford Ave
Atlantic City, NJ 08401
Phone (609) 348-1161

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

6010 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 272-0909

120 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 561-4211

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1578883526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 NJ-168",
            "address_2": "SUITE 104",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-617-7688",
            "fax_number": "856-401-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 N HARTFORD AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084013512",
            "telephone_number": "609-348-1161",
            "fax_number": "609-348-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "DONALD",
        "middle_name": "P",
        "credential": "LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00021600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.