Emily Keller Licensed Professional Clinical Counselor PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMILY KELLER LICENSED PROFESSIONAL CLINICAL COUNSELOR PC

Practice address

3179 Independence Dr
Livermore, CA 94551-7595

Phone

(925) 290-0036

NPI assigned

Aug 28, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Emily Keller, LPCCNPI 1205214483

Title

Clinical Director

Phone

(925) 290-0036

Specialties & licenses 1

Addresses

Other names 1

• Wonderment Family Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Ruha Keller, LPCC

  • Counselor
  • Livermore, CA
  • NPI 1205214483

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1740169259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 INDEPENDENCE DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517595",
            "telephone_number": "925-290-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3179 INDEPENDENCE DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517595",
            "telephone_number": "925-290-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY KELLER LICENSED PROFESSIONAL CLINICAL COUNSELOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "925-290-0036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonderment Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott David Eaton, M.D.
• S. Ward Eccles, DDS
• Diane Edgemon, LE, CPE
• Elch Partners, Inc.
• Wendy Maureen Ellison, PH.D.
• Brian J Emrich
• John Norman Emrich, DDS
• Joseph V Engels, M.S.
• Christopher Robert Entwisle, M.D.
• Kimeeco Kenyata Christine Epps

• Mental Health Counselor in Livermore, CA
• Providers in Livermore, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.