Active NPI
Christina R Keene, LCSW
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1225160401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCS 24921
- Practice address
- 8659 Hydra LN
San Diego, CA 92126-1824 - Phone
- (858) 877-3766
- NPI assigned
- Mar 12, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCS 24921 | CA | Primary |
Addresses
Primary practice location
8659 Hydra LN
San Diego, CA 92126-1824
Mailing address
8659 Hydra LN
San Diego, CA 92126-1824
Phone (858) 877-3766
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9356 | Other | CA | UNITED BEHAVIORAL HEALTH |
| LCS 24921 | Other | CA | LCSW |
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 |
|---|---|---|---|
| LCS 24921 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1225160401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8659 HYDRA LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921261824",
"telephone_number": "858-877-3766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8659 HYDRA LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921261824",
"telephone_number": "858-877-3766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENE",
"first_name": "CHRISTINA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCS 24921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "9356",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "LCS 24921",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.