MATTHEW ALLEN KELLER (NPI# 1003340480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003340480 |
| Entity Type | Individual |
| Full Name | MATTHEW ALLEN KELLER |
| Practice Address |
161 W Victoria St Long Beach CA 90805 |
| Mailing Address |
161 W Victoria St Long Beach CA 90805-2175 |
| Practice Telephone | 3232425000 |
| Mailing Telephone | 3232425000 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2019-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
99118 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 99118 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2535 Kettner Blvd Ste 1a4, San Diego, CA 92101 | 6196150701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801231139 | Matthew Adam Keller | Obstetrics & Gynecology | 845 Helen Dr, Lebanon, PA 17042-7493 | 2013-04-30 |
| 1962742569 | Matthew Ryan Keller | Counselor | 75 Hwy 62/4 12, Suite J, Ash Flat, AR 72513-9629 | 2013-02-20 |
| 1134495591 | Matthew Keller | Dentist | 4405 N Stadium Dr Ste B, Columbus, GA 31909-1884 | 2012-03-29 |
| 1215067210 | Matthew Scott Keller | Specialist/Technologist | 415 Harrisburg Ave, Lancaster, PA 17603-2827 | 2007-03-07 |
| 1356990097 | Matthew Keller | Dentist | 8951 Bonita Beach Rd Se Ste 220, Bonita Springs, FL 34135-4202 | 2019-09-05 |
| 1942760160 | Matthew H Keller | Student in an Organized Health Care Education/Training Program | 530 S Jackson St, Louisville, KY 40202-1675 | 2019-03-22 |
| 1336664614 | Matthew Ryan Keller | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2017-08-08 |
| 1700328762 | Matthew Keller | Optometrist | 14175 W Indian School Rd, Suite B9, Goodyear, AZ 85395-8407 | 2016-11-08 |
| 1083044556 | Matthew Jacob Keller | Physician Assistant | 860 Rostraver Rd, Belle Vernon, PA 15012-1945 | 2013-11-20 |
| 1457536641 | Matthew Evan Keller | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2008-01-07 |
| Street Address |
161 W VICTORIA ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053403899 | Kay Roberson | Marriage & Family Therapist | 161 W Victoria St, Long Beach, CA 90805-2175 | 2006-09-29 |
| 1780299198 | Arlene Jean Baptiste | Rehabilitation Practitioner | 161 W Victoria St, Long Beach, CA 90805-2175 | 2020-09-11 |
| 1265059588 | Daisy Rivas | Case Manager/Care Coordinator | 161 W Victoria St, Long Beach, CA 90805-2175 | 2020-07-02 |
| 1255955985 | Jade Harris | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2020-05-28 |
| 1417589102 | Sandra Hernandez | Case Manager/Care Coordinator | 161 W Victoria St, Long Beach, CA 90805-2175 | 2020-02-10 |
| 1629611454 | Genessa Martin | Student in an Organized Health Care Education/Training Program | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-10-24 |
| 1407406325 | Brigitte Fong | Student in an Organized Health Care Education/Training Program | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-09-12 |
| 1164071007 | Brenda Mendez | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-09-04 |
| 1245889062 | Cindy Colon | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-09-04 |
| 1225686595 | Daushae Preciado | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664002 | Christopher Joseph Bauss | Marriage & Family Therapist | 521 Ultimo Ave, Long Beach, CA 90814-2046 | 2020-09-19 |
| 1487268876 | Tiffany Amber Hooton | Marriage & Family Therapist | 4510 E Pacific Coast Hwy Ste 540, Long Beach, CA 90804-6941 | 2020-09-02 |
| 1144845306 | Sara Povey | Marriage & Family Therapist | 1635 E Ocean Blvd Unit 3a, Long Beach, CA 90802-6041 | 2020-06-13 |
| 1649890955 | Lori Lynn Mann | Marriage & Family Therapist | 6695 E Pacific Coast Hwy Ste 250, Long Beach, CA 90803-4256 | 2020-04-16 |
| 1528606191 | Joseph Buchman | Marriage & Family Therapist | 3950 Long Beach Blvd Ste 101, Long Beach, CA 90807-5410 | 2019-12-13 |
| 1952944951 | April Dawn Malden | Marriage & Family Therapist | 3412 N Greenbrier Rd, Long Beach, CA 90808-2515 | 2019-10-22 |
| 1639729817 | Valetta Melanie Kirchner | Marriage & Family Therapist | 1057 Belmont Ave Apt B, Long Beach, CA 90804-4225 | 2019-09-18 |
| 1639727209 | Fairy Shaw | Marriage & Family Therapist | 4700 Clair Del Ave Apt 545, Long Beach, CA 90807-1329 | 2019-08-28 |
| 1184271496 | Aline Inocencio | Marriage & Family Therapist | 555 E Ocean Blvd Ste 638, Long Beach, CA 90802-5077 | 2019-08-21 |
| 1366003600 | Meredith Anne Freijo | Marriage & Family Therapist | 4401 Atlantic Ave Ste 430, Long Beach, CA 90807-2240 | 2019-06-26 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
Please comment or provide details below to improve the information on MATTHEW ALLEN KELLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.