Keleigh Jefferson, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NPF95004734 Issued in CA

Practice address

631 Tennessee St Ste 101
Vallejo, CA 94590-4432

Phone

(707) 415-8409

NPI assigned

Jan 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thriveworks Clinical - California PCGroup PAC ID 1759785645, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: keleigh.manning.p1@direct.dogonmentalhealth.nextgenshare.com

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.

• Thriveworks Clinical - California PC

  • Mental Health Counselor
  • Thousand Oaks, CA
  • NPI 1801481395
  Medicare reassignment Care Compare group NPD
• En Gedi Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Murrieta, CA
  • NPI 1023960069
  NPD Authorized official
• Neighborhood Medical Clinic of Riverside

  dba Dogon Psychiatric Services

  • Psychiatry Physician
  • Riverside, CA
  • NPI 1073663605
  NPD (past)
• Neighborhood Medical Clinic of Riverside Inc

  dba Dogon Behavioral Medical Group and Dogon Psychiatric Services

  • Psychiatry Physician
  • Riverside, CA
  • NPI 1184782583
  NPD (past)

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1609298926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40960 CALIFORNIA OAKS RD # 1030",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625747",
            "telephone_number": "951-704-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 TENNESSEE ST STE 101",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904432",
            "telephone_number": "707-415-8409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29995 Technology Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925632633",
            "country_code": "US",
            "telephone_number": "951-704-6779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "KELEIGH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "817389",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NPF95004734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seyed Sina Javidhosseini
• Carla Jaye
• Jblockshin & Associates LLC (A Wise Retreat)
• Leata Jeames
• Earl Jefferson
• Perless Daniels Jefferson
• Latisha Jenkins League
• Aisha Jenkins
• Ronald William Jenkins, BCHIS-ACA
• Tristan Jenkins, RPH

• Psychiatric/Mental Health Nurse Practitioner in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.