Active NPI
Nina Keebler
- Marriage & Family Therapist
- Menlo Park, CA
National Provider Identifier
1942528559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT82963
- Practice address
- 530 Oak Grove Ave
Suite 104
Menlo Park, CA 94025-3268 - Phone
- (650) 993-9222
- NPI assigned
- May 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF 68727 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT82963 | CA | Primary |
Addresses
Primary practice location
530 Oak Grove Ave
Suite 104
Menlo Park, CA 94025-3268
Mailing address
530 Oak Grove Ave
Suite 104
Menlo Park, CA 94025-3268
Phone (650) 993-9222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Nov 3, 2025 through Nov 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 68727 | CA | MD | Mental Health Counselor |
| LMFT82963 | CA | MD | Marriage & Family Therapist |
| 82963 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1942528559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 OAK GROVE AVE",
"address_2": "SUITE 104",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940253268",
"telephone_number": "650-993-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 OAK GROVE AVE",
"address_2": "SUITE 104",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940253268",
"telephone_number": "650-993-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEBLER",
"first_name": "NINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-06",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF 68727",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT82963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.