Jacqueline Keller Counseling PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JACQUELINE KELLER COUNSELING PLLC

Practice address

810 Cottageview Dr Ste 101
Traverse City, MI 49684-2392

Phone

(248) 840-5436

NPI assigned

Aug 6, 2019

Last updated

Jan 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline M Thomson Keller, MA, NCCNPI 1669947115

Title

Therapist

Phone

(248) 840-5436

Specialties & licenses 1

Addresses

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.

• Jacqueline Keller, LPC

  • Professional Counselor
  • Traverse City, MI
  • NPI 1669947115
  NPD Authorized official

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610841600000",
    "number": "1750936894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 KNOLLWOOD DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496861859",
            "telephone_number": "248-840-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 COTTAGEVIEW DR STE 101",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842392",
            "telephone_number": "248-840-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE KELLER COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M THOMSON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "248-840-5436",
        "authorized_official_credential": "MA, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob White PH.D., PLLC
• Katelyn Jacobs, OTRL
• Matthew Jacobs
• Paul Anders Jacobson, M.D.
• Renee Rose Jacobson, FNP
• Candis Jade
• Brian D Jaffe, M.D.
• Alexis Nicole Jaggi, PA
• Rebecca Jahn, CRNA
• John Bradley Jakubowski

• Community/Behavioral Health Agency in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.