Active NPI
Meredith Keen, LMFTA
- Marriage & Family Therapist
- Cary, NC
National Provider Identifier
1063929925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 12071A
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12071A | NC | MD | Marriage & 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.