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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: October 18, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Caleb Keller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Therapy Group PC
149 mi
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 clinicians in this Medicare group
NPI 1316238678 (425) 640-7009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Caleb Keller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caleb Keller reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caleb Keller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Caleb Keller was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.