Active NPI
Valerie Joanne Keim, MFT INTERN
- Mental Health Counselor
- Pleasant Hill, CA
National Provider Identifier
1588796809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 45457
- Practice address
- 140 Mayhew Way
Pleasant Hill, CA 94523-4337 - Phone
- (925) 932-0150
- Fax
- (925) 210-0882
- NPI assigned
- Mar 12, 2007
- Last updated
- Oct 1, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 45457 | CA | Primary |
Addresses
Primary practice location
140 Mayhew Way
Pleasant Hill, CA 94523-4337
Mailing address
4140 39TH Ave
Oakland, CA 94619-2206
Phone (510) 531-1986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45457 | CA | MD | Marriage & Family Therapist |
| 46932 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1588796809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 39TH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946192206",
"telephone_number": "510-531-1986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 MAYHEW WAY",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234337",
"telephone_number": "925-932-0150",
"fax_number": "925-210-0882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIM",
"first_name": "VALERIE",
"middle_name": "JOANNE",
"name_prefix": "Ms.",
"credential": "MFT INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "45457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.