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CALEB KELLER
NPI 1023891272
Counselor - Mental Health in Vancouver, WA

Active since August 14, 2023PECOS Enrolled
7700 NE PARKWAY DR STE 130, VANCOUVER, WA 98662(360) 207-9218 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2024, Aug 14, 2023 (2 updates tracked since 2023).

About Caleb Keller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALEB KELLER (NPI 1023891272) is an individual mental health provider in Vancouver, Washington, licensed in Washington (MC61471229) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1023891272
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCALEB KELLER
Location Address7700 NE PARKWAY DR STE 130Vancouver, WA 98662-6648
Mailing Address2147 Newhall St Apt 727Santa Clara, CA 95050-5896
Phone(360) 207-9218
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 14, 2023
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1023891272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MC61471229
7700 NE PARKWAY DR STE 130, Vancouver, WA 98662
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caleb Keller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890261788
PECOS Enrollment IDI20260417002198
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN ROCKWELL BLACK LMHCA
Counselor (Mental Health)
7700 NE PARKWAY DR STE 130
VANCOUVER, WA 98662
Clark County (971) 212-2046
SARAH CHRISTINE HART MA, LMHC
Counselor (Mental Health)
7700 NE PARKWAY DR STE 130
VANCOUVER, WA 98662
Clark County (360) 931-0489
BETHANY CUMMINGS MA
Counselor (Mental Health)
7700 NE PARKWAY DR STE 130
VANCOUVER, WA 98662
Clark County (360) 207-9218
THOMAS ELDON RENFROE B.TH
Student in an Organized Health Care Education/Training Program
7700 NE PARKWAY DR STE 130
VANCOUVER, WA 98662
Clark County (360) 207-9218
ADAM CHARLES GARRETT LMHCA
Counselor (Mental Health)
7700 NE PARKWAY DR STE 130
VANCOUVER, WA 98662
Clark County (360) 207-1544
MONICA LYNN CONWAY BFA
Student in an Organized Health Care Education/Training Program
7700 NE PARKWAY DR STE 130
VANCOUVER, WA 98662
Clark County (360) 207-9218

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 Caleb Keller's NPI number?

The NPI number for Caleb Keller is 1023891272. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Caleb Keller located?

Caleb Keller practices at 7700 NE Parkway Dr Ste 130, Vancouver, WA 98662. The listed phone number is (360) 207-9218.

What is Caleb Keller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Caleb Keller enrolled in Medicare?

Yes. Caleb Keller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caleb Keller was last updated on April 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.