Active NPI
Dawn Elaine Keller, LMFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1457512170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC39128
- Practice address
- 1175 W Shaw Ave
Fresno, CA 93711-3704 - Phone
- (559) 246-0972
- Fax
- (559) 241-0168
- NPI assigned
- Jun 25, 2008
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC39128 | CA | Primary |
Addresses
Primary practice location
1175 W Shaw Ave
Fresno, CA 93711-3704
Mailing address
1175 W Shaw Ave
Fresno, CA 93711-3704
Phone (559) 246-0972
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 |
|---|---|---|---|
| MFC39128 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1457512170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113704",
"telephone_number": "559-246-0972",
"fax_number": "559-241-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113704",
"telephone_number": "559-246-0972",
"fax_number": "559-241-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "DAWN",
"middle_name": "ELAINE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC39128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.