Mary Kellerman, CCJP
NPI 1205190451 · Addiction (Substance Use Disorder) Counselor · Tarzana, CA
Mary Kellerman, CCJP is a Addiction (Substance Use Disorder) Counselor provider in Tarzana, CA (NPI 1205190451).
Provider details
- NPI number
- 1205190451
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CCJP
- Sex
- Female
- Sole proprietor
- Yes
- License
- CJP980109 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-02
- Last updated
- 2024-05-17
- Certified
- 2024-05-17
Frequently asked questions
- What is Mary Kellerman's NPI number?
- Mary Kellerman's National Provider Identifier (NPI) is 1205190451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Kellerman's specialty?
- Mary Kellerman is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Mary Kellerman located?
- Mary Kellerman's practice location on file with NPPES is 18646 Oxnard St, Tarzana, CA 91356-1411.
- What is Mary Kellerman's phone number?
- The practice phone number listed in the NPPES registry for Mary Kellerman is (818) 996-1051.
- Is Mary Kellerman's NPI active?
- Yes — Mary Kellerman's NPI (1205190451) is active in the NPPES registry as of the last update on 2024-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.