Active NPI
Keith Warren Cheney, LMFT
- Marriage & Family Therapist
- Mooresville, NC
National Provider Identifier
1609148980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1546
- 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, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1546 | NC | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Piedmont Counseling PLLC | Marriage & Family Therapist | Current | 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.
-
- Mental Health Counselor
- Mooresville, NC
- NPI 1740689538
Marriage & Family Therapist
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.