Active NPI
Keri Marie Prather, LMFT
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1992870372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 50823
- Practice address
- 305 N Harbor Blvd Ste 215
Fullerton, CA 92832-1901 - Phone
- (714) 932-9520
- NPI assigned
- Nov 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 50823 | CA | Primary |
Addresses
Primary practice location
305 N Harbor Blvd Ste 215
Fullerton, CA 92832-1901
Mailing address
2000 Ipsen Way
Placentia, CA 92870-1814
Phone (714) 931-2230
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 |
|---|---|---|---|
| 50823 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1992870372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 IPSEN WAY",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928701814",
"telephone_number": "714-931-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 N HARBOR BLVD STE 215",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321901",
"telephone_number": "714-932-9520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATHER",
"first_name": "KERI",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "50823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.