Individual provider Active NPI

Dayjha Cheatham Keith

  • Professional Counselor
  • Lewisville, TX
National Provider Identifier
1134840002
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81415 Issued in TX
Practice address
4400 State Highway 121 Ste 208
Lewisville, TX 75056-7085
Phone
(214) 618-0588
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 81415 TX Primary

Addresses

Primary practice location

4400 State Highway 121 Ste 208
Lewisville, TX 75056-7085

Mailing address

6760 Windhaven Pkwy Apt 4062
The Colony, TX 75056-6908

Other names 1

  • DJ Cheatham Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250925004804 TX Practitioner - Mental Health Counselor 1052816469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blank Slate TherapyGroup PAC ID 5193069219, 17 clinicians

Practice addresses (Care Compare)

4400 State Hwy 121
Suite 208
Lewisville, TX 75056-7085
Phone (214) 618-0588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blank Slate Therapy Professional CurrentSince Aug 1, 2025 Accepting new patients

Locations

5899 Preston Rd
Ste 404
Frisco, TX 75034
Phone (214) 618-0588

4400 State Highway 121
Ste 208
Lewisville, TX 75056
Phone (214) 618-0588

185 S Kimball Ave
Ste 120
Southlake, TX 76092
Phone (214) 618-0588

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": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1134840002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 WINDHAVEN PKWY APT 4062",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750566908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 STATE HIGHWAY 121 STE 208",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750567085",
            "telephone_number": "214-618-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATHAM KEITH",
        "first_name": "DAYJHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DJ",
            "last_name": "CHEATHAM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.