Individual provider Active NPI

Keisha Smith Fresch, MHPS

  • Peer Specialist
  • Killeen, TX
National Provider Identifier
1114776283
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
1705 S Fort Hood St Ste 103B
Killeen, TX 76542-1681
Phone
(254) 213-3188
Fax
(254) 200-2453
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

1705 S Fort Hood St Ste 103B
Killeen, TX 76542-1681

Mailing address

1705 S Fort Hood St Ste 103B
Killeen, TX 76542-1681
Phone (254) 239-1027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling to Empowerment PLLC CurrentSince May 19, 2024 Accepting new patients

Locations

1705 S Fort Hood St
Ste 103
Killeen, TX 76542
Phone (254) 239-1027

1705 S Fort Hood St
Ste 103B
Killeen, TX 76542
Phone (254) 239-1027

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1114776283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 S FORT HOOD ST STE 103B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421681",
            "telephone_number": "254-239-1027",
            "fax_number": "254-200-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S FORT HOOD ST STE 103B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421681",
            "telephone_number": "254-213-3188",
            "fax_number": "254-200-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESCH",
        "first_name": "KEISHA",
        "middle_name": "SMITH",
        "credential": "MHPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.