Laurel Amy Keala, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT113115 Issued in CA

Practice address

1350 Hayes St Ste B3
Benicia, CA 94510-2970

Phone

(707) 297-9270

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1356962583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 HAYES ST STE B3",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102970",
            "telephone_number": "707-297-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 HAYES ST STE B3",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102970",
            "telephone_number": "707-297-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEALA",
        "first_name": "LAUREL",
        "middle_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT113115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard G. Joyce, O.D.
• Ruth D. Kalb, PH.D.
• Allen Kaplan, MFT
• Gail Mary Katic, RN
• Gregory James Kaufman, D.C.
• Camille Reynolds Keene, RDHAP
• Rachel Shanan Kennedy
• James W Kenshalo, LCSW
• Justin Keppel, PPS
• June Kim-Ryujin, OTR/L

• Marriage & Family Therapist in Benicia, CA
• Providers in Benicia, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.