KHEM SHEPSUTERA
NPI 1417349465
Counselor in Thornton, CO

Q: 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.

Q: What is Khem Shepsutera's specialty?

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

Q: 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.

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: August 16, 2026.

On this page

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

Phone(303) 853-3654

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

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

TIFFANY T NGUYEN

Counselor (Mental Health)