JESSICA V KELLER LPC NPI 1417734559

NPI Information

  • NPI: 1417734559
  • Provider Name: JESSICA V KELLER, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 320 COLUMBUS AVE
    GRAND HAVEN, MI
    ZIP 49417
  • Phone: (616) 607-4476

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NPI Details

Jessica V Keller, LPC is a professional counselor in Grand Haven, MI. Jessica V Keller, LPC NPI is 1417734559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

320 COLUMBUS AVE
GRAND HAVEN, MI
ZIP 49417-289
Phone: (616) 607-4476
Fax: (833) 231-4270

The NPI 1417734559 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/12/2023 and was last updated on 9/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional6401223733MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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