Organization Active NPI

Dana Keane, LMFT

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1528483526
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
29383 Issued in CA
Legal business name
DANA KEANE, LMFT
Practice address
2707 Surfrider Ave
Ventura, CA 93001-4139
Phone
(661) 904-7430
Fax
(661) 298-2299
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Dana Keane, MFT
Title
Owner
Phone
(661) 904-7430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 29383 CA Primary

Addresses

Primary practice location

2707 Surfrider Ave
Ventura, CA 93001-4139

Mailing address

2707 Surfrider Ave
Ventura, CA 93001-4139
Phone (661) 904-7430

Other identifiers 1

IdentifierTypeStateIssuer
12645117OtherCACAQH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1528483526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 SURFRIDER AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930014139",
            "telephone_number": "661-904-7430",
            "fax_number": "661-298-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 SURFRIDER AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930014139",
            "telephone_number": "661-904-7430",
            "fax_number": "661-298-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA KEANE, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "KEANE",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-904-7430",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "29383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12645117",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.