WADE KELLER MA, LAMFT
NPI 1114706421
Marriage & Family Therapist in Prior Lake, MN

Active since September 26, 2023PECOS Enrolled
15852 PENNSYLVANIA AVE, PRIOR LAKE, MN 55372(612) 991-2937 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wade Keller Ma, Lamft NPPES

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

WADE KELLER MA, LAMFT (NPI 1114706421) is an individual marriage & family therapist in Prior Lake, Minnesota, licensed in Minnesota (4431) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114706421
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameWADE KELLERCredential: MA, LAMFT
Location Address15852 PENNSYLVANIA AVEPrior Lake, MN 55372-2270
Mailing Address15852 Pennsylvania AvePrior Lake, MN 55372-2270 · (612) 991-2937
Sole ProprietorYes
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
NPI 1114706421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in MN · 4431
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
15852 PENNSYLVANIA AVE, Prior Lake, MN 55372

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

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 Wade Keller's NPI number?

The NPI number for Wade Keller is 1114706421. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Wade Keller located?

Wade Keller practices at 15852 Pennsylvania Ave, Prior Lake, MN 55372. The listed phone number is (612) 991-2937.

What is Wade Keller's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Wade Keller enrolled in Medicare?

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

What insurance does Wade Keller accept?

Health plans from HealthPartners list Wade 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 Wade Keller was last updated on September 26, 2023. 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.