1. Home
  2. Directory
  3. California
  4. Simi Valley
  5. Marriage Family Therapist
  6. NPI Profile

MR. KEITH ASUKAI PERSICO
NPI 1285282038
Marriage & Family Therapist in Simi Valley, CA

Active since August 26, 2019Opted out of Medicare · through Dec 7, 2027
237 GOLDENWOOD CIR, SIMI VALLEY, CA 93065(805) 501-4520 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Keith Asukai Persico NPPES

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

MR. KEITH ASUKAI PERSICO (NPI 1285282038) is an individual marriage & family therapist in Simi Valley, California, licensed in California (105210) and active in the NPI registry since August 2019. He has opted out of Medicare through December 7, 2027.

NPPES Registry Identity

NPI1285282038
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. KEITH ASUKAI PERSICO
Location Address237 GOLDENWOOD CIRSimi Valley, CA 93065-6772
Mailing Address237 Goldenwood CirSimi Valley, CA 93065-6772 · (805) 501-4520
Phone(805) 501-4520
Sole ProprietorYes
Enumeration DateAugust 26, 2019
✔ NPI 1285282038 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 · 105210
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.
237 GOLDENWOOD CIR, Simi Valley, CA 93065
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Keith Asukai Persico has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 7, 2025 through December 7, 2027.

Opt-Out Effective DateDecember 7, 2025
Opt-Out In Effect ThroughDecember 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Persico's NPI number?

The NPI number for Keith Persico is 1285282038. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Keith Persico located?

Keith Persico practices at 237 Goldenwood Cir, Simi Valley, CA 93065. The listed phone number is (805) 501-4520.

What is Keith Persico's specialty?

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

Is Keith Persico enrolled in Medicare?

No. Keith Persico has opted out of Medicare through December 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Keith Persico was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.