Individual provider Active NPI

Sheri Denham Keffer, PH.D MFT

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1104055508
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 44175 Issued in CA
Practice address
901 Dove St Ste 140
Newport Beach, CA 92660-3034
Phone
(949) 295-6878
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2019

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 MFT 44175 CA Primary

Addresses

Primary practice location

901 Dove St Ste 140
Newport Beach, CA 92660-3034

Mailing address

739 Calle Bahia
San Clemente, CA 92672-2418
Phone (949) 295-6878

Other practice location 1

1151 Dove St
Suite 105
Newport Beach, CA 92660-2840
Phone (949) 295-6878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT 44175CAMDMarriage & Family Therapist
44175CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1104055508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 CALLE BAHIA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722418",
            "telephone_number": "949-295-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOVE ST STE 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603034",
            "telephone_number": "949-295-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 Dove St",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602840",
            "country_code": "US",
            "telephone_number": "949-295-6878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEFFER",
        "first_name": "SHERI",
        "middle_name": "DENHAM",
        "credential": "PH.D MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 44175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.