Liza Garcia Keller, DMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

110899 Issued in CA

Practice address

5849 Crocker St
Los Angeles, CA 90003-1311

Phone

(323) 234-4445

Fax

(323) 234-4477

NPI assigned

Aug 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Special Service for Groups, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Los Angeles, CA
  • NPI 1982735932
  NPD (past)

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1841422904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5849 CROCKER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031311",
            "telephone_number": "323-234-4445",
            "fax_number": "323-234-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5849 CROCKER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031311",
            "telephone_number": "323-234-4445",
            "fax_number": "323-234-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "867 N Fair Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911033050",
            "country_code": "US",
            "telephone_number": "909-293-7859",
            "fax_number": "909-599-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "LIZA",
        "middle_name": "GARCIA",
        "name_prefix": "Dr.",
        "credential": "DMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "60751",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "88127",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "110899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Keller
• Jarod Michael Keller, M.D.
• Johanna Keller
• Justin Keller, NP
• Kevin Matthew Keller, MD
• Marie Margaret Keller, PHD, LMFT
• Suzanne Keller
• Taylor Keller
• Tina Lu Keller, RN, MSN, APRN-BC
• Zaihleen Shariff Keller, M.D.

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, 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 Feb 26, 2020; 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.