Individual provider Active NPI

Andrea Michele Keith, LMFT, CEAP

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1447419007
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC45708 Issued in CA
Practice address
PO Box 53454
Irvine, CA 92619-3454
Phone
(949) 650-2442
NPI assigned
Jun 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 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 MFC45708 CA Primary
Contractor 171W00000X CEAP 028148 CA

Addresses

Primary practice location

PO Box 53454
Irvine, CA 92619-3454

Mailing address

PO Box 53454
Irvine, CA 92619-3454
Phone (949) 650-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312004109 CA Practitioner - Marriage and Family Therapist 3971949934 Practice locations: Huntington Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Huntington Beach, CA 92646
Phone (949) 650-2442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC45708CAMDMarriage & Family Therapist
CEAP 028148CAMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1447419007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53454",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926193454",
            "telephone_number": "949-650-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 53454",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926193454",
            "telephone_number": "949-650-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "ANDREA",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "LMFT, CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-08",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45708",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "CEAP 028148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.