JESSICA V KELLER LPC
NPI 1417734559
Counselor - Professional in Zeeland, MI
About Jessica V Keller Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA V KELLER LPC (NPI 1417734559) is an individual professional provider in Zeeland, Michigan, licensed in Michigan (6401223733) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Haven, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica V Keller Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Keller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Haven, MI 49417
- Reassigned Medicare billing, Michigan enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ZEELAND, MI 49464
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 Jessica Keller's NPI number?
The NPI number for Jessica Keller is 1417734559. It was assigned to this individual provider in the NPPES registry on September 12, 2023.
Where is Jessica Keller located?
Jessica Keller practices at 440 S State St Ste 300, Zeeland, MI 49464. The listed phone number is (616) 741-3790.
What is Jessica Keller's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jessica Keller enrolled in Medicare?
Yes. Jessica Keller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jessica Keller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Keller reassigns Medicare benefits to Start And Associates Psychological Support, LLC (Grand Haven, MI). The 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 Jessica Keller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Keller accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Jessica 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 Jessica Keller was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jessica V Keller, LPC · NPI 1417734559
Professional provider in Zeeland, Michigan. Individual provider, active in the CMS NPPES registry since September 12, 2023.
## Identity
- **NPI:** 1417734559 (Entity type: Individual)
- **Enumerated:** September 12, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401223733 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 440 S STATE ST STE 300, Zeeland, MI 49464-2250
- **Phone:** (616) 741-3790 · **Fax:** (616) 741-3792
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Start And Associates Psychological Support, LLC (NPI 1922304799, Grand Haven, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417734559) · Data from the CMS NPPES public registry.