Individual provider Active NPI

Meredith Keen, LMFTA

  • Marriage & Family Therapist
  • Cary, NC
National Provider Identifier
1063929925
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
12071A Issued in NC
Practice address
130 Iowa LN Ste 101
Cary, NC 27511
Phone
(919) 590-5625
Fax
(919) 808-4328
NPI assigned
Jan 1, 2018
Last updated
Aug 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 12071A NC Primary

Addresses

Primary practice location

130 Iowa LN Ste 101
Cary, NC 27511

Mailing address

147 Pioneer Path
Chapel Hill, NC 27517-8842

Other practice location 1

140 Preston Executive Dr Ste 100L
Cary, NC 27513-8488
Phone (919) 590-5625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12071ANCMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1063929925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 PIONEER PATH",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 IOWA LN STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-590-5625",
            "fax_number": "919-808-4328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Preston Executive Dr Ste 100L",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275138488",
            "country_code": "US",
            "telephone_number": "919-590-5625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEN",
        "first_name": "MEREDITH",
        "credential": "LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-01",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12071A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.