Kristen Mary Keller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05929500 Issued in NJ

Practice address

440 West St Ste 312
Fort Lee, NJ 07024-5028

Phone

(201) 835-3804

NPI assigned

Jun 29, 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 CO

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Zephyr Behavioral Health and Wellness LLCGroup PAC ID 3870034507, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Zephyr Behavioral Health and Wellness LLC

  • Psychiatry Physician
  • Greenwood Village, CO
  • NPI 1386480226
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1730706490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 HICKORY HILL RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811623",
            "telephone_number": "201-835-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WEST ST STE 312",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245028",
            "telephone_number": "201-835-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KRISTEN",
        "middle_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05929500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ohan Karatoprak, M.D.
• Michael Kasselian, DDS
• Terri Feldman Katz, M.D
• Jaspreet Kaur, PHARMD
• Katherine Kehoe, LCSW
• Karen Gertrudis Kerr, MED.,CCC-SLP
• Hermine Kessler Axelrod, RD CDE
• Bo Ram Keum, RPH
• Gavriil Khaimov, DPM
• Lydia Khalil, DDS

• Clinical Social Worker in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.