LARRY KELLER (NPI# 1285085779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285085779 |
| Entity Type | Individual |
| Full Name | LARRY KELLER |
| Credential | LSATP, LCAS, CAADC |
| Practice Address |
1555 Meadowview Dr Ste 5 Danville VA 24541 |
| Mailing Address |
8932 Kentuck Rd Ringgold VA 24586-5426 |
| Practice Telephone | 4346851570 |
| Practice Fax Number | 4346851477 |
| Mailing Telephone | 4343346508 |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 0718000420 | VA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0710103300 | VA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-234233 | NC | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1436 | VA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CSAC20095 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8932 Kentuck Rd, Ringgold, VA 245865426 | 4343346508 | 4343346508 |
| 413 Mount Cross Rd, Danville, VA 245404088 | 4342229098 | 4343814316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588674618 | Larry H Keller | Chiropractor | 611 N 39th Ave, Yakima, WA 98902-6348 | 2006-08-09 |
| 1528064094 | Larry Keller | Internal Medicine | 1811 Bethlehem Pike, A-108, Flourtown, PA 19031-1111 | 2005-06-21 |
| Street Address |
1555 MEADOWVIEW DR STE 5 |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769205 | Alexis K Blackwell | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541-7352 | 2020-08-05 |
| 1447886833 | Whitney Asha Russell | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541-7352 | 2020-03-17 |
| 1043845175 | Sierra Leann Hairston | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541-7352 | 2020-03-09 |
| 1063056182 | Diana Brooke Wofford | Registered Nurse | 1555 Meadowview Dr Ste 5, Danville, VA 24541-7352 | 2019-10-31 |
| 1932757119 | Takessa Walker | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541-7352 | 2019-08-30 |
| 1588122857 | Mary Geraldine Gaines | Licensed Practical Nurse | 1555 Meadowview Dr Ste 5, Danville, VA 24541-7352 | 2019-03-06 |
| 1467949206 | Marvin Norman | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541-7352 | 2018-04-17 |
| 1265929038 | Mennie Roberts | Licensed Practical Nurse | 1555 Meadowview Dr Ste 5, Danville, VA 24541-7352 | 2018-04-17 |
| 1053808824 | Malet Woods | Licensed Practical Nurse | 1555 Meadowview Dr Ste 5, Danville, VA 24541-7352 | 2018-04-17 |
| 1891293023 | Birdeana Rosenbaum | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541-7352 | 2018-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| 1912020678 | Johnnys Heroes Youth and Family Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1026 Main Street, Danville, VA 24541 | 2007-04-09 |
| Find all providers in zip 24541 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063040871 | National Treatment Prevention and Education Center | Counselor | 6452 Alum Springs Rd, Danville, KY 40422-9054 | 2020-03-28 |
| 1508336991 | Ashley Brooke Ganem | Counselor | 4327 Quail Run Ln, Danville, CA 94506-5850 | 2018-11-28 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1134487077 | Elden Verlin Chalmers | Counselor | 2050 Diablo Rd Apt A, Danville, CA 94506-2021 | 2012-04-29 |
| 1063789188 | Rhonda Muriel Beavers-chandler | Counselor | 203 Withers Cir, Danville, VA 24541-6327 | 2011-11-17 |
| 1619108685 | Brandon Riggins | Counselor | 115 Town and Country Dr., Danville, CA 94526 | 2009-08-07 |
| 1063649556 | Olav Hartvig Christensen | Counselor | 1009 Kimber St, Danville, IL 61832-4159 | 2009-06-11 |
| 1215057849 | Tawna Kay Howard | Counselor | 120 N Vermilion St, Danville, IL 61832-4709 | 2007-03-29 |
| 1568458933 | Galen E Diehl | Counselor | 159 Deer Run Rd, Danville, VA 24540-2863 | 2005-09-21 |
| 1437769205 | Alexis K Blackwell | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541-7352 | 2020-08-05 |
| Find all providers in DANVILLE | ||||
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| 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.