Shameela Keshavjee, MS, LMFT-S

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

201087 Issued in TX

Practice address

2650 FM 407 E Ste 145/417
Bartonville, TX 76226-7012

Phone

(214) 683-0241

Fax

(214) 865-6189

NPI assigned

Jun 13, 2010

Last updated

Nov 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shameela Keshavjee, Ms, LMFT, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bartonville, TX
  • NPI 1174284582
  NPD Authorized official

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

{
    "created_epoch": "1276387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1487975587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 FM 407 E STE 145/417",
            "city": "BARTONVILLE",
            "state": "TX",
            "postal_code": "762267012",
            "telephone_number": "214-683-0241",
            "fax_number": "214-865-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 FM 407 E STE 145/417",
            "city": "BARTONVILLE",
            "state": "TX",
            "postal_code": "762267012",
            "telephone_number": "214-683-0241",
            "fax_number": "214-865-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHAVJEE",
        "first_name": "SHAMEELA",
        "credential": "MS, LMFT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-13",
        "last_updated": "2020-11-21",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel S Forrer, DO
• George Ray Gober, R.PH.
• Ida Gail Herrera, NP
• Mindy B Howard, LMFTA
• J Gregory McCray DO PA (Bartonville Family Medical)
• Callie Kirby, APRN, FNP
• Agish Kovoor, RPH
• Kroger Texas LP (Kroger Pharmacy #572)
• David Tuan Le
• George Robert Marye III, DDS

• Marriage & Family Therapist in Bartonville, TX
• Providers in Bartonville, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.