Active NPI
Nevida Khetarpal, M.A , LMFT
- Marriage & Family Therapist
- Naperville, IL
National Provider Identifier
1609398353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166001577
- Practice address
- 900 E Diehl Rd
Naperville, IL 60563-1403 - Phone
- (888) 428-7890
- NPI assigned
- Jul 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166001577 | IL | Primary |
Addresses
Primary practice location
900 E Diehl Rd
Naperville, IL 60563-1403
Mailing address
1336 White Oak Lane
West Chicago, IL 60185
Phone (630) 329-0036
Other names 1
- Miss Nevida Khetarpal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166001577 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriveworks Clinical - Illinois | Mental Health | Current | Accepting new patients |
| Edgewood Clinical Services, P.C. | Mental Health | Past | Accepting new patients |
Locations
333 N Michigan Ave
Ste 1810
Chicago, IL 60601
Phone (217) 850-1133
7425 Janes Ave
Ste 205
Woodridge, IL 60517
Phone (217) 850-1133
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Chicago, IL
- NPI 1164190633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1609398353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 WHITE OAK LANE",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "60185",
"telephone_number": "630-329-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E DIEHL RD",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605631403",
"telephone_number": "888-428-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHETARPAL",
"first_name": "NEVIDA",
"credential": "M.A , LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166001577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NEVIDA",
"last_name": "KHETARPAL",
"prefix": "MISS",
"credential": "M.A., LMFT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.