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JACOB R KELLER LPCC
NPI 1629340856
Counselor - Professional in Eaton, OH

Active since February 03, 2012PECOS Enrolled
411 W MAIN ST, EATON, OH 45320(937) 475-9124 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacob R Keller Lpcc NPPES

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

JACOB R KELLER LPCC (NPI 1629340856) is an individual professional provider in Eaton, Ohio, licensed in Ohio (E1000620) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629340856
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB R KELLERCredential: LPCC
Location Address411 W MAIN STEaton, OH 45320-1624
Mailing Address411 W Main StEaton, OH 45320-1624 · (937) 475-9124
Phone(937) 475-9124
Sole ProprietorYes
Enumeration DateFebruary 3, 2012
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1629340856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E1000620
411 W MAIN ST, Eaton, OH 45320
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.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)

Jacob R Keller Lpcc 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 Jacob Keller's NPI number?

The NPI number for Jacob Keller is 1629340856. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Where is Jacob Keller located?

Jacob Keller practices at 411 W Main St, Eaton, OH 45320. The listed phone number is (937) 475-9124.

What is Jacob Keller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacob Keller enrolled in Medicare?

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

What insurance does Jacob Keller accept?

Health plans from MedMutual list Jacob 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 Jacob Keller was last updated on September 12, 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.