Keri Sills-Payne, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

124118 Issued in CA

Practice address

13877 Carlow Park Dr
Riverview, FL 33579-2149

Phone

(510) 214-2486

NPI assigned

Jan 18, 2022

Last updated

Jan 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1093466369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13877 CARLOW PARK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792149",
            "telephone_number": "510-214-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13877 CARLOW PARK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792149",
            "telephone_number": "510-214-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLS-PAYNE",
        "first_name": "KERI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Riverview, FL
• Providers in Riverview, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.