Active NPI
Tiffany Lashawn Keith, MAFT ASSOCIATE
- Marriage & Family Therapist
- Louisville, KY
National Provider Identifier
1508435934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 270845
- Practice address
- 102 Daventry LN Ste 5
Louisville, KY 40223-2869 - Phone
- (502) 817-8229
- NPI assigned
- Jun 21, 2021
- 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 | 270845 | KY | Primary |
Addresses
Primary practice location
102 Daventry LN Ste 5
Louisville, KY 40223-2869
Mailing address
201 Kewanna Dr
Jeffersonville, IN 47130-4805
Phone (812) 920-0194
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 |
|---|---|---|---|
| 270845 | KY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1508435934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 KEWANNA DR",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471304805",
"telephone_number": "812-920-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 DAVENTRY LN STE 5",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232869",
"telephone_number": "502-817-8229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "TIFFANY",
"middle_name": "LASHAWN",
"credential": "MAFT ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "270845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.