Active NPI
Keith Eller, LPC
- Professional Counselor
- Erie, PA
National Provider Identifier
1831423136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC000567
- Practice address
- 212 Lowry Rd
Erie, PA 16511-1327 - Phone
- (814) 504-0284
- NPI assigned
- Sep 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC000567 | PA | Primary |
Addresses
Primary practice location
212 Lowry Rd
Erie, PA 16511-1327
Mailing address
212 Lowry Rd
Erie, PA 16511-1327
Phone (814) 504-0284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC000567 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1831423136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 LOWRY RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165111327",
"telephone_number": "814-504-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 LOWRY RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165111327",
"telephone_number": "814-504-0284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLER",
"first_name": "KEITH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-21",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC000567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.