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MARY KELLER
NPI 1104646454
Counselor - Addiction (Substance Use Disorder) in Blaine, MN

Active since October 11, 2024
10729 TOWN SQUARE DR NE STE 120, BLAINE, MN 55449(763) 343-9010 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Keller NPPES

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

MARY KELLER (NPI 1104646454) is an individual addiction (substance use disorder) provider in Blaine, Minnesota, licensed in Minnesota (303034) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1104646454
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY KELLER
Location Address10729 TOWN SQUARE DR NE STE 120Blaine, MN 55449-7923
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(763) 343-9010
Sole ProprietorYes
Enumeration DateOctober 11, 2024
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1104646454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 303034
10729 TOWN SQUARE DR NE STE 120, Blaine, MN 55449
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES 7

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

MS. TAYLOR KRISTINE VACCA MA, BS
Counselor (Professional)
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010
DR. AMY MORAN WHEELECOR PSYD, LP
Psychologist
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010
TANAGER YVONNE POLOWCHAK MA, LPCC
Counselor (Professional)
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010
CAMBRIA LYNE FISHER
Counselor (Professional)
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010
LINDSAY JAN SCHWAB-PETERSON NP
Nurse Practitioner (Psychiatric/Mental Health)
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010
CINDY LYNN ROLLAND LADC
Counselor (Addiction (Substance Use Disorder))
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010
ROBERT B STEIN
Social Worker (Clinical)
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010

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 Mary Keller's NPI number?

The NPI number for Mary Keller is 1104646454. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Where is Mary Keller located?

Mary Keller practices at 10729 Town Square Dr NE Ste 120, Blaine, MN 55449. The listed phone number is (763) 343-9010.

What is Mary Keller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Mary Keller accept?

Health plans from HealthPartners list Mary Keller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Keller was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.