KHEM SHEPSUTERA
NPI 1417349465
Counselor in Thornton, CO

Active since February 28, 2015PECOS EnrolledAccepts Medicare Assignment
8931 HURON ST, THORNTON, CO 80260(303) 853-3654(303) 853-3656 Get Directions Write a Review

NPPES record last updated: February 28, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Khem Shepsutera NPPES

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

KHEM SHEPSUTERA (NPI 1417349465) is an individual counselor in Thornton, Colorado and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1417349465
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKHEM SHEPSUTERA
Location Address8931 HURON STThornton, CO 80260-6806
Mailing Address8931 Huron StThornton, CO 80260-6806
Fax(303) 853-3656
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 28, 2015
✔ NPI 1417349465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
8931 HURON ST, Thornton, CO 80260

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khem Shepsutera is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961750963
PECOS Enrollment IDI20180808000802
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Khem Shepsutera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 940 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
8931 HURON ST
THORNTON, CO 80260
Social Worker (Clinical)
8931 HURON ST
THORNTON, CO 80260
Nurse Practitioner (Psychiatric/Mental Health)
8931 HURON ST
THORNTON, CO 80260
Counselor (Mental Health)
8931 HURON ST
THORNTON, CO 80260
Registered Nurse
8931 HURON ST
THORNTON, CO 80260
Social Worker
8931 HURON ST
THORNTON, CO 80260
Counselor (Mental Health)
8931 HURON ST
THORNTON, CO 80260
Counselor (Mental Health)
8931 HURON ST
THORNTON, CO 80260

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 Khem Shepsutera's NPI number?

The NPI number for Khem Shepsutera is 1417349465. It was assigned to this individual provider in the NPPES registry on February 28, 2015.

Where is Khem Shepsutera located?

Khem Shepsutera practices at 8931 Huron St, Thornton, CO 80260. The listed phone number is (303) 853-3654.

What is Khem Shepsutera's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Khem Shepsutera enrolled in Medicare?

Yes. Khem Shepsutera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Khem Shepsutera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khem Shepsutera reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khem Shepsutera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khem Shepsutera accept?

Health plans from Oscar Insurance Company and Select Health list Khem Shepsutera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Khem Shepsutera was last updated on February 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.