Taya Suzanne Keller, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Colorado Springs, Colorado. She graduated from healthcare school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Heart Centered Counseling Pc and her current practice location is
5265 N Academy Blvd Ste 2600, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 310-3406.
Taya Suzanne Keller is licensed to practice in Colorado (license number CSW.09923074) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114119120.
Healthcare Provider's Profile
Full Name | Taya Suzanne Keller |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 22 Years |
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Location | 5265 N Academy Blvd Ste 2600, Colorado Springs, Colorado |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Taya Suzanne Keller graduated from medical school in 2002
NPI Data:
- NPI Number: 1114119120
- Provider Enumeration Date: 08/14/2007
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406179639
- Enrollment ID: I20141219000980
Medical Identifiers
Medical identifiers for Taya Suzanne Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114119120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000338 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09923074 (Colorado) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Heart Centered Counseling Pc | 8628373651 | 133 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Taya Suzanne Keller allows following entities to bill medicare on her behalf.
Entity Name | Jefferson Center For Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154403798 PECOS PAC ID: 9032018882 Enrollment ID: O20031231000357 |
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Entity Name | Heart Centered Counseling Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588038681 PECOS PAC ID: 8628373651 Enrollment ID: O20160229001522 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taya Suzanne Keller is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Taya Suzanne Keller, LCSW, LAC 5265 N Academy Blvd Ste 2600, Colorado Springs, CO 80918-4081 Ph: (970) 310-3406 | Taya Suzanne Keller, LCSW, LAC 5265 N Academy Blvd Ste 2600, Colorado Springs, CO 80918-4081 Ph: (970) 310-3406 |
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