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

Q: 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.

Q: What is Keith Star'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 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.

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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)