Naseem Khericha

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC Issued in ID

Practice address

1904 Jennie Lee Dr
Idaho Falls, ID 83404-6159

Phone

(208) 974-5200

NPI assigned

Oct 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Luke and Spencer Behavioral Health PLLCGroup PAC ID 5092167940, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Luke & Spencer Behavioral Health PLLC

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1427834571

  Mental Health

  Medicare reassignment Care Compare group NPD
• Kenneth P. Lindsey, PHD, PA

  • Psychologist
  • Pocatello, ID
  • NPI 1255459608
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1154519619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4285",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054285",
            "telephone_number": "208-552-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 JENNIE LEE DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046159",
            "telephone_number": "208-974-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHERICHA",
        "first_name": "NASEEM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDOL",
            "identifier": "LCPC",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Mudrow DDS PLLC
• Kayla Nicole Key
• Mark Keyes, PHARMD
• Muad Khallad, MD
• Muhammad Arslan Khan, M.D.
• Thomas James Kibler
• Kid Connections, Inc
• Ryan T Kidman, DDS
• Shania Marie Killian Skanch
• Joshua D Killpack, PA-C

• Mental Health Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.