Active NPI
Jason Frederick Keppe
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1184873432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 50069
- Practice address
- 8750 Mountain Blvd
Building 69
Oakland, CA 94605-4500 - Phone
- (510) 898-8102
- NPI assigned
- Sep 11, 2008
- Sex
- Male
- Sole proprietor
- No
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 | MFC 50069 | CA | Primary |
Addresses
Primary practice location
8750 Mountain Blvd
Building 69
Oakland, CA 94605-4500
Mailing address
2411 Ward St
Apt. #2
Berkeley, CA 94705-1158
Phone (510) 848-1443
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 |
|---|---|---|---|
| MFC 50069 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306540800000",
"number": "1184873432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 WARD ST",
"address_2": "APT. #2",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051158",
"telephone_number": "510-848-1443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8750 MOUNTAIN BLVD",
"address_2": "BUILDING 69",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946054500",
"telephone_number": "510-898-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPPE",
"first_name": "JASON",
"middle_name": "FREDERICK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-11",
"last_updated": "2011-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 50069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.