EMILY KELLER LICENSED PROFESSIONAL CLINICAL COUNSELOR PC
NPI 1740169259
Counselor - Mental Health in Livermore, CA
About Emily Keller Licensed Professional Clinical Counselor Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY KELLER LICENSED PROFESSIONAL CLINICAL COUNSELOR PC (NPI 1740169259), doing business as Wonderment Family Therapy, is a healthcare organization registered as a mental health in Livermore, California and active in the NPI registry since August 2025. The organization lists Emily Keller, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emily Keller Licensed Professional Clinical Counselor Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Emily Keller Licensed Professional Clinical Counselor PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Emily Keller Licensed Professional Clinical Counselor PC's NPI number?
The NPI number for Emily Keller Licensed Professional Clinical Counselor PC is 1740169259. It was assigned to this organization in the NPPES registry on August 28, 2025. The provider is doing business as Wonderment Family Therapy.
Where is Emily Keller Licensed Professional Clinical Counselor PC located?
Emily Keller Licensed Professional Clinical Counselor PC is located at 3179 Independence Dr, Livermore, CA 94551. The listed phone number is (925) 290-0036.
What is Emily Keller Licensed Professional Clinical Counselor PC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Emily Keller Licensed Professional Clinical Counselor PC enrolled in Medicare?
Yes. Emily Keller Licensed Professional Clinical Counselor PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Emily Keller Licensed Professional Clinical Counselor PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Emily Keller Licensed Professional Clinical Counselor PC. 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.
When was this NPI record last updated?
The NPPES record for Emily Keller Licensed Professional Clinical Counselor PC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Emily Keller Licensed Professional Clinical Counselor Pc · NPI 1740169259
Mental Health organization in Livermore, California. Organization record, active in the CMS NPPES registry since August 28, 2025.
## Identity
- **NPI:** 1740169259 (Entity type: Organization)
- **Enumerated:** August 28, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Also known as:** Wonderment Family Therapy (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Emily Keller, CLINICAL DIRECTOR
## Practice location
- **Address:** 3179 INDEPENDENCE DR, Livermore, CA 94551-7595
- **Phone:** (925) 290-0036
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740169259) · Data from the CMS NPPES public registry.