JAI BEA KELLER L.M.H.C.
NPI 1285772897
Counselor - Mental Health in Medford, MA

Active since February 03, 2007
86 BOSTON AVE, MEDFORD, MA 02155(781) 488-3503(781) 483-2221 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jai Bea Keller L.m.h.c. NPPES

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

JAI BEA KELLER L.M.H.C. (NPI 1285772897) is an individual mental health provider in Medford, Massachusetts, licensed in Massachusetts (#1354) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1285772897
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAI BEA KELLERCredential: L.M.H.C.
Location Address86 BOSTON AVEMedford, MA 02155-3522
Mailing Address86 Boston AveMedford, MA 02155-3522 · (781) 488-3503 · Fax (781) 483-2221
Fax(781) 483-2221
Sole ProprietorYes
Enumeration DateFebruary 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1285772897 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 MA · #1354
86 BOSTON AVE, Medford, MA 02155

Other Identifiers 1

Other#1354MA · L.m.h.c.

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
86 BOSTON AVE
MEDFORD, MA 02155

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 Jai Keller's NPI number?

The NPI number for Jai Keller is 1285772897. It was assigned to this individual provider in the NPPES registry on February 3, 2007.

Where is Jai Keller located?

Jai Keller practices at 86 Boston Ave, Medford, MA 02155. The listed phone number is (781) 488-3503.

What is Jai 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 Jai Keller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.