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DR. HEIDI E KELLER PH.D.
NPI 1801088356
Counselor - Mental Health in Sparta, NJ

Active since August 17, 2007PECOS EnrolledAccepts Medicare Assignment
30 SPARTA AVE., SPARTA, NJ 07871(973) 729-3832(973) 729-6114 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Heidi E Keller Ph.d. NPPES

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

DR. HEIDI E KELLER PH.D. (NPI 1801088356) is an individual mental health provider in Sparta, New Jersey, licensed in New Jersey (37PC00325500) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1801088356
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. HEIDI E KELLERCredential: PH.D.
Location Address30 SPARTA AVE.Sparta, NJ 07871
Mailing Address30 Sparta Ave.Sparta, NJ 07871 · (973) 729-3832 · Fax (973) 729-6114
Phone(973) 729-3832
Fax(973) 729-6114
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 17, 2007
✔ NPI 1801088356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37PC00325500
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 016695-1 (NY)
30 SPARTA AVE., Sparta, NJ 07871
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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

Dr. Heidi E Keller Ph.d. 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.

PECOS PAC ID7810177276
PECOS Enrollment IDI20110202000669
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.

Medicare Billing Reassignment

Medicare enrollment records show Heidi Keller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Live Well Psychology Center, LLC
0.3 mi
Psychologist
48 WOODPORT RD, SUITE 22
Sparta, NJ 07871
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1902459670 (973) 726-5200

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 Heidi Keller's NPI number?

The NPI number for Heidi Keller is 1801088356. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Where is Heidi Keller located?

Heidi Keller practices at 30 Sparta Ave., Sparta, NJ 07871. The listed phone number is (973) 729-3832.

What is Heidi Keller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Heidi Keller enrolled in Medicare?

Yes. Heidi 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 Heidi Keller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Keller reassigns Medicare benefits to Live Well Psychology Center, LLC (Sparta, NJ). 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 Heidi Keller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heidi Keller was last updated on August 17, 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.