MATTHEW RYAN KELLER (NPI# 1962742569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962742569 |
| Entity Type | Individual |
| Full Name | MATTHEW RYAN KELLER |
| Credential | LPC |
| Practice Address |
75 Hwy 62/4 12 Suite J Ash Flat AR 72513-9629 |
| Mailing Address |
1815 Pleasant Grove Rd Jonesboro AR 72401-7870 |
| Practice Telephone | 8709947060 |
| Practice Fax Number | 8709947063 |
| Mailing Telephone | (870) 933-6886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2017-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P1511123 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 191202795 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801231139 | Matthew Adam Keller | Obstetrics & Gynecology | 845 Helen Dr, Lebanon, PA 17042-7493 | 2013-04-30 |
| 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 |
| 1003340480 | Matthew Allen Keller | Counselor | 161 W Victoria St, Long Beach, CA 90805 | 2017-04-12 |
| 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 |
75 HWY 62/4 12 SUITE J |
| City | ASH FLAT |
| State | AR |
| Zip Code | 72513-9629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972073450 | Hope Satterwhite | Speech-Language Pathologist | 120 Nix Rd, Ash Flat, AR 72513 | 2018-11-28 |
| 1356816110 | Garrett Andrew Sublett | Occupational Therapy Assistant | 83-1 Tuff St, Ash Flat, AR 72513 | 2018-10-09 |
| 1821540626 | Phillip Michael Taylor | Case Manager/Care Coordinator | 75 Hwy 62 - 412, Ash Flat, AR 72513 | 2016-10-27 |
| 1174079453 | Isaacs Occupational Therapy, LLC | Occupational Therapist | 33 Court Rd, Ash Flat, AR 72513 | 2016-08-28 |
| 1275899726 | David Bryant | Case Manager/Care Coordinator | 75 Hwy 75-612, Ash Flat, AR 72513 | 2012-04-10 |
| 1235375734 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 714 Ash Flat Dr, Ash Flat, AR 72513 | 2009-01-05 |
| 1336303262 | Melinda Wallis | Case Manager/Care Coordinator | Remington Plaza 75k Hwy 62/142, Ash Flat, AR 72513 | 2008-07-10 |
| 1336306596 | Stephanie Chapps | Case Manager/Care Coordinator | 75 Hwy 62-412, Ash Flat, AR 72513 | 2008-05-16 |
| 1598985863 | Network of Community Options Inc. | Day Training, Developmentally Disabled Services | 10 Martin Lane, Ash Flat, AR 72513 | 2007-04-27 |
| 1386864882 | Melanie Ann Isaacs | Occupational Therapist | #873 Hwy 354, Ash Flat, AR 72513 | 2007-04-26 |
| Find all providers in zip 72513 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316278120 | Vicky Lee Bowman | Counselor | 75 Highway 62 412 Ste J, Ash Flat, AR 72513-9629 | 2010-01-18 |
| 1558398883 | Michelle Michelle Vest | Counselor | 75 Hwy 62/412, Suite J, Ash Flat, AR 72513-9629 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899986 | Cynthia Hrdlichka | Counselor | 2224 E Elaine Ave, Fayetteville, AR 72703-4507 | 2020-10-20 |
| 1568069169 | Blaire Bradbury | Counselor | 1466 N Desoto Pl, Fayetteville, AR 72703-1953 | 2020-10-06 |
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1932712064 | Lavana J. Kindle | Counselor | Victory Church 1283 Us-278 W, Camden, AR 71701-4551 | 2020-08-28 |
| 1275141202 | Leslie Meeker | Counselor | 10068 Buckskin Cir, Rogers, AR 72758-7575 | 2020-07-15 |
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1114557824 | Elysian Counseling Services Pllc | Counselor | 1024 W Court St Ste C, Paragould, AR 72450-4130 | 2020-01-22 |
| 1588294631 | Puzzle Collaborative | Counselor | 34 W Colt Square Dr Ste 1, Fayetteville, AR 72703-2888 | 2020-01-16 |
| 1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
| 1114562071 | Ariel Brown | Counselor | 10 Remington Dr, Little Rock, AR 72204-8202 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
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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.