Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Heidi E Keller, PHD

Individual provider Mental Health Counselor · NPI 1801088356

Dr. Heidi E Keller, PHD is a Clinical Psychologist in Sparta, New Jersey. Qualified in 2004, 22 years ago. Practices with Live Well Psychology Center LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
22
Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

30 Sparta Ave
Sparta, NJ 07871
Phone: (973) 729-3832
Fax: (973) 729-6114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 37PC00325500 (NJ)
Counseling Psychologist Taxonomy 103TC1900X · Licence 016695-1 (NY)

Record details

NPI number1801088356
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 17, 2007
Last updated in NPPESAugust 17, 2007
Mailing address30 Sparta Ave., Sparta, NJ 07871

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Live Well Psychology Center Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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