KENNETH ROBERT KEOUGH MFT
NPI 1073617361
Marriage & Family Therapist in Oakland, CA

Q: What is Kenneth Keough's NPI number?

The NPI number for Kenneth Keough is 1073617361. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Q: What is Kenneth Keough's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Keough was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 08, 2006PECOS EnrolledAccepts Medicare Assignment

876 43RD ST, OAKLAND, CA 94608(415) 531-4846(510) 595-1134 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kenneth Robert Keough Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH ROBERT KEOUGH MFT (NPI 1073617361) is an individual marriage & family therapist in Oakland, California, licensed in California (46870) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1073617361

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameKENNETH ROBERT KEOUGHCredential: MFT

Location Address876 43RD STOakland, CA 94608-3714

Mailing Address1625 6th AveOakland, CA 94606-2478 · (415) 531-4846 · Fax (510) 595-1134

Phone(415) 531-4846

Fax(510) 595-1134

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateSeptember 8, 2006

Last NPPES UpdateAugust 29, 2022

NPPES CertifiedAugust 29, 2022

✔ NPI 1073617361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 46870

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

876 43RD ST, Oakland, CA 94608

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Robert Keough Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608226634

PECOS Enrollment IDI20240103000869

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Keough's NPI number?

The NPI number for Kenneth Keough is 1073617361. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Kenneth Keough located?

Kenneth Keough practices at 876 43rd St, Oakland, CA 94608. The listed phone number is (415) 531-4846.

What is Kenneth Keough's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kenneth Keough enrolled in Medicare?

Yes. Kenneth Keough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Keough was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.