Keesha M Khepra, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05743600 Issued in NJ

Practice address

16 Guilford CT
Morris Plains, NJ 07950-1256

Phone

(862) 202-4446

Fax

(973) 672-2013

NPI assigned

May 9, 2018

Last updated

May 9, 2018By 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

Enrolled in NJ, MA, CA3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Talkspace Behavioral Health Services NJ, PCGroup PAC ID 6709225451, 12 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Talkspace Behavioral Health Services NJ, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1346020112

  NJ

  Medicare reassignment Care Compare group NPD
• Talkspace Provider Network Ca PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1003506866

  CA

  Medicare reassignment NPD
• Talkspace Provider Network PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1639814049

  MA

  Medicare reassignment NPD
• Live Empowered, LLC

  • Clinical Social Worker
  • Morris Plains, NJ
  • NPI 1073172425
  NPD Authorized official

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1912496407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GUILFORD CT",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501256",
            "telephone_number": "862-202-4446",
            "fax_number": "973-672-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GUILFORD CT",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501256",
            "telephone_number": "862-202-4446",
            "fax_number": "973-672-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEPRA",
        "first_name": "KEESHA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05743600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krishna Kadakia
• Glen Katz, D.C.
• Evelyn N. Keddis, M.D.
• Megan Kelly, MS
• Thanita Z. Kennedy
• Stephanie Kimmel, MA BCBA
• Sharnaz Candice King, CHHA
• Agnes M. Kisch Dupont, M.D.
• Lauren Koch, RD
• Kaitlyn Michele Kocses, MS, BCBA

• Clinical Social Worker in Morris Plains, NJ
• Providers in Morris Plains, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.