Individual provider Active NPI

Lynnaia Keune, MFT

  • Marriage & Family Therapist
  • Rancho Mirage, CA
National Provider Identifier
1528075660
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
36889 Issued in CA
Practice address
44 Malaga Dr
Rancho Mirage, CA 92270-3819
Phone
(760) 501-5568
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 36889 CA Primary

Addresses

Primary practice location

44 Malaga Dr
Rancho Mirage, CA 92270-3819

Mailing address

PO Box 2115
Rancho Mirage, CA 92270-1055
Phone (760) 501-5568

Other practice location 1

5523 34th St
Sacramento, CA 95820-4725
Phone (916) 739-8680

Other practice location 2

3301 37th Ave
Sacramento, CA 95824-2418
Phone (916) 210-8773

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL thekey2vt@gmail.com Direct

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
I20240118004471 CA Practitioner - Marriage and Family Therapist 4880046465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Psychological Services IncGroup PAC ID 9436157534, 37 clinicians

Practice addresses (Care Compare)

9089 Base Line Rd
Rancho Cucamonga, CA 91730-1295
Phone (909) 755-8373

954 W Foothill Blvd
Suite a
Upland, CA 91786-3782
Phone (909) 946-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36889CAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Psychological Services, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Health Service Alliance Past Accepting new patients
La Familia Counseling Center, Inc. Past Accepting new patients
La Familia Counseling Center, Inc Past Accepting new patients

Locations

5050 San Bernardino St
Montclair, CA 91763
Phone (909) 281-5800

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

954 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 946-4222

600 N Euclid Ave
Ste 204
Upland, CA 91786
Phone (909) 379-1513

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1528075660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2115",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701055",
            "telephone_number": "760-501-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MALAGA DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703819",
            "telephone_number": "760-501-5568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5523 34th St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958204725",
            "country_code": "US",
            "telephone_number": "916-739-8680",
            "fax_number": "916-453-2829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958242418",
            "country_code": "US",
            "telephone_number": "916-210-8773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEUNE",
        "first_name": "LYNNAIA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "36889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thekey2vt@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rancho Mirage",
            "address_1": "44 Malaga Dr",
            "city": "Rancho Mirage",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922703819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.