Jodi Keller, M.S., LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.018581 Issued in IL

Practice address

2752 Woodbine Ave
Evanston, IL 60201-1566

Phone

(773) 844-6706

NPI assigned

Mar 14, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Resonance Therapy and Counseling Services PLLC

  • Mental Health Counselor
  • Evanston, IL
  • NPI 1316674872
  NPD

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1740981968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 JUDSON AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021314",
            "telephone_number": "224-420-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 WOODBINE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011566",
            "telephone_number": "773-844-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JODI",
        "credential": "M.S., LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.018581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tesfamariam Kefle, LCSW
• Joanna Kegler
• Oumar Keita
• Patricia Ann Kelleher, M.D.
• Chad Michael Keller, PA
• Kenneth Martin Lester Kellner, MD
• Kelly K. Schilder, LTD.
• Allison Kelly, OTR
• Amy B Kelly, MA
• Ashley E. Kelly, APN-CNP

• Mental Health Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.