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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IVY ROSE KELLER
NPI 1063284289
Counselor - Mental Health in Malden, MA

Active since October 23, 2023
389 MAIN ST FL 3, MALDEN, MA 02148(617) 804-2773 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2026, Oct 23, 2023 (2 updates tracked since 2023).

About Ivy Rose Keller NPPES

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

IVY ROSE KELLER (NPI 1063284289) is an individual mental health provider in Malden, Massachusetts and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1063284289
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameIVY ROSE KELLER
Location Address389 MAIN ST FL 3Malden, MA 02148-5054
Mailing Address120 Maple StMiddleton, MA 01949-2228 · (978) 395-6816
Phone(617) 804-2773
Sole ProprietorNo
Enumeration DateOctober 23, 2023
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1063284289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
389 MAIN ST FL 3, Malden, MA 02148
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Other Providers at the Same Location NPPES 10

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

JAMES VINCENT DISABATINO
Counselor (Mental Health)
389 MAIN ST FL 3
MALDEN, MA 02148
Middlesex County (617) 804-2773
ISABELLA LEILANI CASEY
Counselor (Mental Health)
389 MAIN ST FL 3
MALDEN, MA 02148
Middlesex County (617) 804-2773
SONIA ZELADA
Counselor (Mental Health)
389 MAIN ST FL 3
MALDEN, MA 02148
Middlesex County (617) 804-2773
LAURA POPULIN
Counselor (Mental Health)
389 MAIN ST FL 3
MALDEN, MA 02148
Middlesex County (617) 804-2773
MS. BREANNA EDWARDS
Counselor (Mental Health)
389 MAIN ST FL 3
MALDEN, MA 02148
Middlesex County (617) 804-2773
AMANDA COOLIDGE
Social Worker (Clinical)
389 MAIN ST FL 3
MALDEN, MA 02148
Middlesex County (617) 804-2773
MORIAH NORRIS
Counselor (Mental Health)
389 MAIN ST FL 3
MALDEN, MA 02148
Middlesex County (617) 804-2773
ALEXANDRA JENNIFER GAJEWSKI
Counselor (Mental Health)
389 MAIN ST FL 3
MALDEN, MA 02148
Middlesex County (617) 804-2773

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 Ivy Keller's NPI number?

The NPI number for Ivy Keller is 1063284289. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Ivy Keller located?

Ivy Keller practices at 389 Main St Fl 3, Malden, MA 02148. The listed phone number is (617) 804-2773.

What is Ivy Keller's specialty?

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

When was this NPI record last updated?

The NPPES record for Ivy Keller was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.