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KESHA GILMORE PH.D
NPI 1356494736
Psychologist - Clinical in Falls Church, VA

Active since January 19, 2007Opted out of Medicare · through Oct 1, 2026
701 W BROAD ST, SUITE 305, FALLS CHURCH, VA 22046(703) 533-3302(703) 237-2083 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kesha Gilmore Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KESHA GILMORE PH.D (NPI 1356494736) is an individual clinical provider in Falls Church, Virginia, licensed in Virginia (0810003765) and active in the NPI registry since January 2007. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356494736
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKESHA GILMORECredential: PH.D
Location Address701 W BROAD ST, SUITE 305Falls Church, VA 22046-3220
Mailing Address701 W Broad Street, Suite 305Falls Church, VA 22046 · (703) 533-3302 · Fax (703) 237-2083
Phone(703) 533-3302
Fax(703) 237-2083
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356494736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810003765
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
701 W BROAD ST, Falls Church, VA 22046
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kesha Gilmore Ph.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2018 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2018
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTER FOR MULTICULTURAL HUMAN SERVICES
Counselor (Mental Health)
701 W BROAD ST, 305
FALLS CHURCH, VA 22046
Falls Church City (703) 533-3302
REGAL 3 HOME HEALTH CARE, LC
In Home Supportive Care
701 W BROAD ST
FALLS CHURCH, VA 22046
Falls Church City (240) 839-2600
DR. PETER J ELLIS O.D.
Optometrist
701 W BROAD ST
FALLS CHURCH, VA 22046
Falls Church City (703) 237-6500
YESHASHWORK KIBOUR PH.D
Psychologist (Clinical)
701 W BROAD ST, STE 305
FALLS CHURCH, VA 22046
Falls Church City (703) 533-3302
MARION CHEW PH.D
Psychologist
701 W BROAD ST, 305
FALLS CHURCH, VA 22046
Falls Church City (703) 533-3302
CLAUDIA NIEMTZOFF LPC
Counselor (Professional)
701 W BROAD ST, SUITE 305
FALLS CHURCH, VA 22046
Falls Church City (703) 533-3302
MS. NORIKO IWASE LCSW
Social Worker (Clinical)
701 W BROAD ST, SUITE 305
FALLS CHURCH, VA 22046
Falls Church City (703) 533-3302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kesha Gilmore's NPI number?

The NPI number for Kesha Gilmore is 1356494736. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Kesha Gilmore located?

Kesha Gilmore practices at 701 W Broad St Suite 305, Falls Church, VA 22046. The listed phone number is (703) 533-3302.

What is Kesha Gilmore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kesha Gilmore enrolled in Medicare?

No. Kesha Gilmore has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kesha Gilmore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.