JIM R. KELLER, PH.D., SPECIALISTS IN PSYCHOLOGICAL COUNSELING & CONSUL
NPI 1225260565
Psychologist - Counseling in Edmond, OK

Active since August 20, 2009
1800 RENAISSANCE BLVD, 2ND FLOOR, EDMOND, OK 73013(405) 359-2481(405) 359-2487 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jim R. Keller, Ph.d., Specialists In Psychological Counseling & Consul NPPES

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

JIM R. KELLER, PH.D., SPECIALISTS IN PSYCHOLOGICAL COUNSELING & CONSUL (NPI 1225260565) is a healthcare organization registered as a counseling in Edmond, Oklahoma and active in the NPI registry since August 2009. The organization lists James Riley Keller, Owner, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1225260565
Entity TypeOrganization
Primary Taxonomy103TC1900X
Legal Business NameJIM R. KELLER, PH.D., SPECIALISTS IN PSYCHOLOGICAL COUNSELING & CONSUL
Location Address1800 RENAISSANCE BLVD, 2ND FLOOREdmond, OK 73013-3023
Mailing AddressPo Box 7083Edmond, OK 73083-7083 · (405) 359-2481 · Fax (405) 359-2487
Fax(405) 359-2487
Organization SubpartNo
Authorized OfficialJames Riley KellerOwner, Psychologist · (405) 359-2481
Enumeration DateAugust 20, 2009
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1225260565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License✔ Licensed in OK · 854
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
1800 RENAISSANCE BLVD, Edmond, OK 73013

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jim R. Keller, Ph.d., Specialists In Psychological Counseling & Consul is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20091112000555Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1437340528
921 NE 13TH ST
Oklahoma City, OK 73104
(405) 302-1500
✔ PECOS✔ Accepts Medicare11 mi

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

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 Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul's NPI number?

The NPI number for Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul is 1225260565. It was assigned to this organization in the NPPES registry on August 20, 2009.

Where is Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul located?

Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul is located at 1800 Renaissance Blvd 2nd Floor, Edmond, OK 73013. The listed phone number is (405) 359-2481.

What is Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul enrolled in Medicare?

Yes. Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul is registered in the Medicare PECOS enrollment system.

When is Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul 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 Jim R. Keller, Ph.D., Specialists In Psychological Counseling & Consul was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.