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COURTNEY TIERRA KEITH LCSW 111075
NPI 1770093452
Social Worker - Clinical in San Diego, CA

Active since October 06, 2017PECOS Enrolled
100/100
CMS Quality Rating
5060 SHOREHAM PL STE 330, SAN DIEGO, CA 92122(619) 866-0998 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2025, Jun 25, 2024, Apr 12, 2022 (3 updates tracked since 2022).

About Courtney Tierra Keith Lcsw 111075 NPPES

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

COURTNEY TIERRA KEITH LCSW 111075 (NPI 1770093452) is an individual clinical provider in San Diego, California, licensed in California (120004) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770093452
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCOURTNEY TIERRA KEITHCredential: LCSW 111075
Location Address5060 SHOREHAM PL STE 330San Diego, CA 92122-5976
Mailing Address189 Wagner St Unit 262Troutman, NC 28166-9627
Phone(619) 866-0998
Sole ProprietorNo
Enumeration DateOctober 6, 2017
Last NPPES UpdateFebruary 14, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1770093452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 120004✔ Licensed in TX · 111075✔ Licensed in OH · S.1500130✔ Licensed in NC · C013689
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5060 SHOREHAM PL STE 330, San Diego, CA 92122
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of NC, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Tierra Keith Lcsw 111075 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 Reassignments

5

Medicare enrollment records show Courtney Keith reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brightside Medical, P.C.
449 mi
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Brightside Medical PC
  • 231 clinicians in this Medicare group
NPI 1801355482 (415) 360-3348
Bmsc Nc LLC
1,698 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, North Carolina enrollment
  • 23 clinicians in this Medicare group
NPI 1831611649 (855) 241-7160
Bmsc Tx LLC
1,698 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Texas enrollment
  • 44 clinicians in this Medicare group
NPI 1215485198 (855) 241-7160
Monarch
2,040 mi
Community/Behavioral Health
201 W MARION ST STE 100
Shelby, NC 28150
  • Reassigned Medicare billing, North Carolina enrollment
  • 260 clinicians in this Medicare group
NPI 1326475302 (704) 476-4027
Step Up Care Of North Carolina PC
2,199 mi
Clinical
176 MINE LAKE CT STE 100
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 38 clinicians in this Medicare group
NPI 1841929395 (718) 298-4375

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
31 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92122 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
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40
Cost85.46

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.

SARA ELIZABETH ROYAL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5060 SHOREHAM PL STE 330
SAN DIEGO, CA 92122
San Diego County (619) 866-0998
CALLIE MICHELLE NULL LMT
Massage Therapist
5060 SHOREHAM PL STE 330
SAN DIEGO, CA 92122
San Diego County (844) 747-0474
LEANNE KELLY GREENBERG
Marriage & Family Therapist
5060 SHOREHAM PL STE 330
SAN DIEGO, CA 92122
San Diego County (858) 427-5060
ELIZABETH ANN GOMEZ APRN
Nurse Practitioner (Psychiatric/Mental Health)
5060 SHOREHAM PL STE 330
SAN DIEGO, CA 92122
San Diego County (619) 866-0998
DR. NAIDA ISHAMAR SANCHEZ DSW, LCSW
Social Worker (Clinical)
5060 SHOREHAM PL STE 330
SAN DIEGO, CA 92122
San Diego County (877) 840-6956
DR. ALEXANDRA METHRATTA PSY
Psychologist (Clinical)
5060 SHOREHAM PL STE 330
SAN DIEGO, CA 92122
San Diego County (877) 840-6956
ALYSSA EISMAN LCSW, CADC II
Social Worker (Clinical)
5060 SHOREHAM PL STE 330
SAN DIEGO, CA 92122
San Diego County (877) 840-6956
ANDREA PATREECE COOK APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5060 SHOREHAM PL STE 330
SAN DIEGO, CA 92122
San Diego County (619) 866-0998

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 Courtney Keith's NPI number?

The NPI number for Courtney Keith is 1770093452. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Where is Courtney Keith located?

Courtney Keith practices at 5060 Shoreham Pl Ste 330, San Diego, CA 92122. The listed phone number is (619) 866-0998.

What is Courtney Keith's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Courtney Keith enrolled in Medicare?

Yes. Courtney Keith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Courtney Keith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Keith reassigns Medicare benefits to 5 organizations: Brightside Medical, P.C. (San Francisco, CA), Bmsc Nc LLC (Plainfield, IL), Bmsc Tx LLC (Plainfield, IL), Monarch (Shelby, NC) and Step Up Care Of North Carolina PC (Raleigh, NC). Each 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 Courtney Keith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Keith accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of NC, Cigna Healthcare, Molina Healthcare and Oscar Insurance Company and 1 other insurer list Courtney Keith 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 Courtney Keith was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.