Ke Therapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KE THERAPY PLLC

Practice address

4116 Saylor LN Unit B
Caldwell, ID 83607-1096

Phone

(435) 572-0340

NPI assigned

Apr 24, 2025

Organization subpart

No

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

Authorized official

Name

Khadija Tahira Ewalt, LMHCNPI 1851939474

Title

Mental Health Counselor

Phone

(435) 572-0340

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khadija Tahira Ewalt, LMHC

  • Mental Health Counselor
  • Caldwell, ID
  • NPI 1851939474
  NPD Authorized official

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1972390573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 SAYLOR LN UNIT B",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836071096",
            "telephone_number": "435-572-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 SAYLOR LN UNIT B",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836071096",
            "telephone_number": "435-572-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "EWALT",
        "authorized_official_first_name": "KHADIJA",
        "authorized_official_middle_name": "TAHIRA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "435-572-0340",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Davi Juarez, LCSW-39611
• Carol Diane Julius, RD LD
• Eugene Kaplan, M.D.
• Sandra Kasumovic, PA-C
• Jacqueline K Kavila, PHARMD
• Christopher Ryan Keller, MD
• Melody Keller, ND
• Merle L. Keller III, MD
• Tatiana Marie Kennedy
• Colt Kennington

• Mental Health Counselor in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.