HEATHER KELLER
NPI 1003065632
Counselor - Professional in Lakeside, AZ
About Heather Keller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER KELLER (NPI 1003065632) is an individual professional provider in Lakeside, Arizona and active in the NPI registry since September 2008. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Heather Keller has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heather Keller's NPI number?
The NPI number for Heather Keller is 1003065632. It was assigned to this individual provider in the NPPES registry on September 18, 2008.
Where is Heather Keller located?
Heather Keller practices at 20 E White Mountain Blvd, Lakeside, AZ 85929. The listed phone number is (480) 389-4519.
What is Heather Keller's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Heather Keller enrolled in Medicare?
No. Heather Keller has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Heather Keller was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Heather Keller · NPI 1003065632
Professional provider in Lakeside, Arizona. Individual provider, active in the CMS NPPES registry since September 18, 2008.
## Identity
- **NPI:** 1003065632 (Entity type: Individual)
- **Enumerated:** September 18, 2008
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20 E WHITE MOUNTAIN BLVD, Lakeside, AZ 85929-6807
- **Phone:** (480) 389-4519
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1003065632) · Data from the CMS NPPES public registry.