Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Lee Keogh

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255116877

Madison Lee Keogh is a Student in an Organized Health Care Education/Training Program in Pasadena, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

940 Avenue 64
Pasadena, CA 91105-2711
Phone: (323) 543-2800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence AMFT147605 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255116877
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2023
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address940 Avenue 64, Pasadena, CA 91105-2711

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