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Active NPI 1003065632 Individual Practitioner Female Practitioner

Heather Keller

Counselor - Professional • Lakeside, AZ

Professional Overview & Biography Verified Profile Summary

Heather Keller is a registered healthcare professional specializing in Counselor - Professional in Lakeside, AZ. Practice services are available at 20 E WHITE MOUNTAIN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20 E White Mountain Blvd

Lakeside, AZ 859296807

Telephone 4803894519
Associated Practice Facility / Clinic
🏢 Safeway Inc Facility NPI 1972539757

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lakeside, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Lakeside, AZ (3051 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-15
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1609108786

Registered Pharmacist

NPI 1790335107
NPI 1962984252

Registered Pharmacist, Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 15, 2021

Registered at 20 E WHITE MOUNTAIN BLVD, LAKESIDE, AZ 859296807 (Tel: 4803894519)

📍
Updated Business Mailing Address February 15, 2021

Registered at 20 E WHITE MOUNTAIN BLVD STE A5-118, LAKESIDE, AZ 859296807 (Tel: 4803894519)

✅
NPI Profile Active March 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2011

Registered at 1125 W STELLA LN, PHOENIX, AZ 850131394 (Tel: 4803894519)

📍
Updated Business Mailing Address March 10, 2011

Registered at 1125 W STELLA LN, PHOENIX, AZ 850131394 (Tel: 4803894519)

👤
Provider Name / Credentials Updated March 10, 2011

Recorded as HEATHER KELLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2011

Counselor

🟢
Initial NPI Registration & Enumeration September 18, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003065632
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2008
Last Update: February 15, 2021
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

20 E White Mountain Blvd Ste A5-118

Lakeside, AZ 859296807

Phone: 4803894519

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.