Individual provider Active NPI

Cora Ann Keene, M.ED., LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1306203138
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
104572 Issued in CA
Practice address
830 Olmstead St
San Francisco, CA 94134-1839
Phone
(415) 742-1106
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF72858 CA
Marriage & Family Therapist 106H00000X 104572 CA Primary

Addresses

Primary practice location

830 Olmstead St
San Francisco, CA 94134-1839

Mailing address

PO Box 427125
San Francisco, CA 94142-7125
Phone (415) 742-1106

Other practice location 1

1380 Howard St
San Francisco, CA 94103-2638
Phone (415) 742-1106

Other practice location 2

1795 Union St
San Francisco, CA 94123
Phone (415) 742-1106

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
104572CAMDMarriage & Family Therapist
IMF72858CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1306203138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427125",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941427125",
            "telephone_number": "415-742-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OLMSTEAD ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341839",
            "telephone_number": "415-742-1106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Howard St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941032638",
            "country_code": "US",
            "telephone_number": "415-742-1106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1795 Union St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94123",
            "country_code": "US",
            "telephone_number": "415-742-1106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENE",
        "first_name": "CORA",
        "middle_name": "ANN",
        "credential": "M.ED., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF72858",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "104572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.