Active NPI
Keamogetse Yasmine Khudu, CT
- Professional Counselor
- Lewis Center, OH
National Provider Identifier
1306302138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2507649
- Practice address
- 7100 Graphics Way Ste 3100
Lewis Center, OH 43035-0238 - Phone
- (740) 428-0428
- Fax
- (740) 909-4077
- NPI assigned
- Feb 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.2507649 | OH | Primary |
Addresses
Primary practice location
7100 Graphics Way Ste 3100
Lewis Center, OH 43035-0238
Mailing address
PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2507649 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1306302138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456010188",
"telephone_number": "740-773-4366",
"fax_number": "740-775-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 GRAPHICS WAY STE 3100",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430350238",
"telephone_number": "740-428-0428",
"fax_number": "740-909-4077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHUDU",
"first_name": "KEAMOGETSE",
"middle_name": "YASMINE",
"credential": "CT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-18",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2507649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewis Center, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.