Taylor Keller, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

964-7-15-18-410 Issued in ND

Practice address

6301 19TH Ave NW
Minot, ND 58703-8899

Phone

(701) 852-3628

Fax

(701) 852-1190

NPI assigned

Aug 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robertson Counseling LLCGroup PAC ID 9133533680, 5 clinicians

Practice addresses (Care Compare)

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.

• Robertson Counseling, LLC

  • Clinical Social Worker
  • Minot, ND
  • NPI 1639716806
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1740769496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BURDICK EXPY E STE 101",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015006",
            "telephone_number": "701-335-6005",
            "fax_number": "701-852-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 19TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587038899",
            "telephone_number": "701-852-3628",
            "fax_number": "701-852-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Burdick Expy E Ste 101",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587015006",
            "country_code": "US",
            "telephone_number": "701-335-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "TAYLOR",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "964-7-15-18A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "964-7-15-18-410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waqas Kayani, MD
• Sean Patrick Kearney, OTD, OTR/L
• Virginia Rose Keaveny, MD
• Madelyn Grace Keener
• Christine Lynn Keller, RN
• Heather England Kelley, M.A., PSYD.
• Madison Kellogg
• Kelsey Lynn Kellow, MS, CCC-SLP
• Kelly Chiropractic Center, PA
• Kelly Chiropractic, PA

• Professional Counselor in Minot, ND
• Providers in Minot, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.