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KEITH IAN STAR
NPI 1174836951
Marriage & Family Therapist in Tarzana, CA

Active since July 21, 2010PECOS Enrolled
18646 OXNARD ST, TARZANA, CA 91356(818) 996-1051 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keith Ian Star NPPES

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

KEITH IAN STAR (NPI 1174836951) is an individual marriage & family therapist in Tarzana, California, licensed in California (MFC28743) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174836951
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKEITH IAN STAR
Location Address18646 OXNARD STTarzana, CA 91356-1411
Mailing Address18646 Oxnard StTarzana, CA 91356-1411 · (818) 996-1051
Phone(818) 996-1051
Sole ProprietorYes
Enumeration DateJuly 21, 2010
✔ NPI 1174836951 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 · MFC28743
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.
18646 OXNARD ST, Tarzana, CA 91356
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Other Names 1

Other Name (5)Keith Star Lmft

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Ian Star is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Keith Star reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tarzana Treatment Centers, Inc.
Same address
Federally Qualified Health Center (FQHC)
18646 OXNARD ST
Tarzana, CA 91356
  • Reassigned Medicare billing, California enrollment
  • 93 clinicians in this Medicare group
NPI 1073951216 (818) 654-3815

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA KATHERINE MALEC RN
Registered Nurse (Case Management)
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
NICOLE MARIAN JOHNSTONE RADT
Counselor (Addiction (Substance Use Disorder))
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 654-3950
ARTURO VARGAS
Peer Specialist
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
DAVID JEROME FISCHER
Peer Specialist
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
GREGORY PAUL WALSH
Counselor (Addiction (Substance Use Disorder))
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
DAVID HEISERMAN
Counselor (Addiction (Substance Use Disorder))
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (747) 224-0384
JOSHUA KELLY
Student in an Organized Health Care Education/Training Program
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (859) 779-2349
SHAWNA ROSE GLUCK
Peer Specialist
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (181) 899-6105

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 Keith Star's NPI number?

The NPI number for Keith Star is 1174836951. It was assigned to this individual provider in the NPPES registry on July 21, 2010. The provider is also known as Keith Star Lmft.

Where is Keith Star located?

Keith Star practices at 18646 Oxnard St, Tarzana, CA 91356. The listed phone number is (818) 996-1051.

What is Keith Star's specialty?

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

Is Keith Star enrolled in Medicare?

Yes. Keith Star is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keith Star's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Star reassigns Medicare benefits to Tarzana Treatment Centers, Inc. (Tarzana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Star's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keith Star was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.