Organization Active NPI

Victoria Keller, Mladc

  • Addiction (Substance Use Disorder) Counselor
  • Keene, NH
National Provider Identifier
1659770204
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0458 Issued in NH
Legal business name
VICTORIA KELLER, MLADC
Practice address
51 Ralston St Ste 1
Keene, NH 03431-3668
Phone
(603) 357-6588
Fax
(603) 357-6588
NPI assigned
Aug 20, 2014
Last updated
Aug 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Victoria Lynn Keller, MLADCNPI 1891839957
Title
Ceo
Phone
(603) 357-6588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0458 NH Primary

Addresses

Primary practice location

51 Ralston St Ste 1
Keene, NH 03431-3668

Mailing address

51 Ralston St Ste 1
Keene, NH 03431-3668
Phone (603) 357-6588

National Provider Directory

National Provider Directory

Locations

51 Ralston St
Ste 1
Keene, NH 03431
Phone (603) 313-9740

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1659770204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 RALSTON ST STE 1",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313668",
            "telephone_number": "603-357-6588",
            "fax_number": "603-357-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 RALSTON ST STE 1",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313668",
            "telephone_number": "603-357-6588",
            "fax_number": "603-357-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA KELLER, MLADC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-357-6588",
        "authorized_official_credential": "MLADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.