Individual provider Active NPI

Keith Warren Cheney, LMFT

  • Marriage & Family Therapist
  • Mooresville, NC
National Provider Identifier
1609148980
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1546 Issued in NC
Practice address
125 Overhill Dr Ste 105
Mooresville, NC 28117-8232
Phone
(704) 287-0338
Fax
(704) 799-8949
NPI assigned
Feb 2, 2012
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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 1546 NC Primary

Addresses

Primary practice location

125 Overhill Dr Ste 105
Mooresville, NC 28117-8232

Mailing address

125 Overhill Dr Ste 105
Mooresville, NC 28117-8232
Phone (704) 287-0338

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

LicenseStateTypeSpecialty
1546NCMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Piedmont Counseling PLLC Marriage & Family Therapist CurrentSince Sep 25, 2022 Accepting new patients

Locations

125 Overhill Dr
Ste 105
Mooresville, NC 28117
Phone (704) 651-5124

242 E Broad St
Statesville, NC 28677
Phone (704) 651-5124

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1609148980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OVERHILL DR STE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178232",
            "telephone_number": "704-287-0338",
            "fax_number": "704-799-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OVERHILL DR STE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178232",
            "telephone_number": "704-287-0338",
            "fax_number": "704-799-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENEY",
        "first_name": "KEITH",
        "middle_name": "WARREN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-02",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.