Keshae Carruthers

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1515 Wilshire Blvd Apt 224
Los Angeles, CA 90017-3033

Phone

(682) 554-9682

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1689382046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 WILSHIRE BLVD APT 224",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173033",
            "telephone_number": "682-554-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 WILSHIRE BLVD APT 224",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173033",
            "telephone_number": "682-554-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUTHERS",
        "first_name": "KESHAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Hope Carroll, DMD, MPH
• Thaddeus Cornelius Carroll
• William Carroll
• Xavier Carroll
• Jamie Lauren Carruth, LMFT
• Carson D Liu, MD, Medcorp
• Danielle Carson, DC
• Jessica Rae Carson, BSW
• Mary Katherine Carson
• Melissa Catherine Carson, PSY.D.

• Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.