SEPEHR KHALILI-TARI MS
NPI 1497263958
Counselor - Mental Health in Carrollton, TX

Active since January 18, 2018PECOS Enrolled
3630 N JOSEY LN STE 100, CARROLLTON, TX 75007(972) 957-0030 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2024, Jan 18, 2018 (2 updates tracked since 2018).

About Sepehr Khalili-tari Ms NPPES

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

SEPEHR KHALILI-TARI MS (NPI 1497263958) is an individual mental health provider in Carrollton, Texas, licensed in Texas (98425) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1497263958
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSEPEHR KHALILI-TARICredential: MS
Location Address3630 N JOSEY LN STE 100Carrollton, TX 75007-3160
Mailing Address5110 N 154th StOmaha, NE 68116-8458 · (402) 212-0251
Sole ProprietorNo
Enumeration DateJanuary 18, 2018
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1497263958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in TX · 98425✔ Licensed in NE · 3877
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3877 (NE)
3630 N JOSEY LN STE 100, Carrollton, TX 75007

Secondary Practice Location 1

Location 111204 Davenport St Ste 200Omaha, NE 68154-2658 · Phone (402) 813-2235

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sepehr Khalili-tari Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Sepehr Khalili-tari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
7929 W CENTER RD
Omaha, NE 68124
  • Reassigned Medicare billing, Nebraska enrollment
  • 57 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.

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 Sepehr Khalili-tari's NPI number?

The NPI number for Sepehr Khalili-tari is 1497263958. It was assigned to this individual provider in the NPPES registry on January 18, 2018.

Where is Sepehr Khalili-tari located?

Sepehr Khalili-tari practices at 3630 N Josey Ln Ste 100, Carrollton, TX 75007. The listed phone number is (972) 957-0030.

What is Sepehr Khalili-tari's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sepehr Khalili-tari enrolled in Medicare?

Yes. Sepehr Khalili-tari is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sepehr Khalili-tari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sepehr Khalili-tari reassigns Medicare benefits to Lutheran Family Services Of NE, Inc (Omaha, NE). 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 Sepehr Khalili-tari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sepehr Khalili-tari accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and UnitedHealthcare list Sepehr Khalili-tari 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 Sepehr Khalili-tari was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.