Active NPI
Augustine J Keirans, MFT
- Marriage & Family Therapist
- Albrightsville, PA
National Provider Identifier
1538339015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000009
- Practice address
- 638 Stony Mountain Rd
Albrightsville, PA 18210-3314 - Phone
- (267) 991-4979
- NPI assigned
- Mar 11, 2008
- Last updated
- Jul 13, 2009
- Sex
- Male
- 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 | MF000009 | PA | Primary |
Addresses
Primary practice location
638 Stony Mountain Rd
Albrightsville, PA 18210-3314
Mailing address
638 Stony Mountain Rd
Albrightsville, PA 18210-3314
Phone (267) 991-4979
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 |
|---|---|---|---|
| MF000009 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1538339015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 STONY MOUNTAIN RD",
"city": "ALBRIGHTSVILLE",
"state": "PA",
"postal_code": "182103314",
"telephone_number": "267-991-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 STONY MOUNTAIN RD",
"city": "ALBRIGHTSVILLE",
"state": "PA",
"postal_code": "182103314",
"telephone_number": "267-991-4979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIRANS",
"first_name": "AUGUSTINE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-11",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albrightsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.