Jai B Keller, LMHC
Counselor, Mental Health in Medford, Massachusetts
1285772897- Practice location
- 86 Boston Ave, Medford, MA 02155-3522
- Phone
- 781-488-3503
- Fax
- 781-483-2221
- Last updated
- July 8, 2007
Jai Bea Keller is a Counselor, Mental Health based in Medford, MA. Jai Bea Keller practices in Medford, MA and has the professional credentials of LMHC. The NPI Number for Jai Bea Keller is 1285772897 and holds a License No. #1354 (MA). The current practice location address for Jai Bea Keller is 86 Boston Ave, Medford, MA 02155-3522 and can be reached out via phone at 781-488-3503 and via fax at 781-483-2221.
Provider Profile Details
- NPI Number
- 1285772897
- Provider Name
- Jai Bea Keller
- Credential
- LMHC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 86 Boston Ave, Medford, MA 02155-3522
- Phone Number
- 781-488-3503
- Fax Number
- 781-483-2221
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 3, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 86 Boston Ave
Medford, MA 02155-3522 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3522
- Phone Number
- 781-488-3503
- Fax Number
- 781-483-2221
Provider Business Mailing Address Details
- Address
- 86 Boston Ave
Medford, MA 02155-3522 - City
- Medford
- State
- MA
- Zip
- 02155-3522
- Phone Number
- 781-488-3503
- Fax Number
- 781-483-2221
License Information
- License Number
- #1354
- License State
- MA
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jai B Keller, LMHC?
The NPI number of Jai B Keller, LMHC is 1285772897. It was assigned on February 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Jai B Keller, LMHC?
Jai B Keller, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number #1354.
Where does Jai B Keller, LMHC practice?
The practice location is 86 Boston Ave, Medford, MA 02155-3522. The office can be reached at 781-488-3503 (phone) or 781-483-2221 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285772897 directly on the NPPES registry website.