MR. KEITH PACKER MA, LMFT
NPI 1417451576
Marriage & Family Therapist in San Francisco, CA

Active since March 22, 2018PECOS Enrolled
5214F DIAMOND HEIGHTS BLVD # 3048, SAN FRANCISCO, CA 94131(415) 548-1963 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2025, May 22, 2022, May 23, 2021 and 1 more (4 updates tracked since 2018).

About Mr. Keith Packer Ma, Lmft NPPES

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

MR. KEITH PACKER MA, LMFT (NPI 1417451576) is an individual marriage & family therapist in San Francisco, California, licensed in California (102069) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417451576
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. KEITH PACKERCredential: MA, LMFT
Location Address5214F DIAMOND HEIGHTS BLVD # 3048San Francisco, CA 94131-2175
Mailing Address5214f Diamond Heights Blvd # 3048San Francisco, CA 94131-2175 · (415) 548-1963
Sole ProprietorYes
Enumeration DateMarch 22, 2018
Last NPPES UpdateJune 4, 20254 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
NPI 1417451576 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 · 102069
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.

5214F DIAMOND HEIGHTS BLVD # 3048, San Francisco, CA 94131

Medicare Participation & PECOS Enrollment Status

Keith Packer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-12-2024

  • Opt-Out End Date: 01-12-2028

  • Eligible to Order and Refer? No

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MR. KEITH PACKER MA, LMFT

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417451576, enumerated as an "individual" on March 22, 2018.

The provider is located at 5214F DIAMOND HEIGHTS BLVD # 3048 SAN FRANCISCO, CA 94131 and the phone number is (415) 548-1963.

Marriage & Family Therapist with taxonomy code 106H00000X.