KEISHA B. MATTHEWS BS MA LCPC LPC ACS
NPI 1790080257
Counselor - Professional in Fairfax, VA
About Keisha B. Matthews Bs Ma Lcpc Lpc Acs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEISHA B. MATTHEWS BS MA LCPC LPC ACS (NPI 1790080257) is an individual professional provider in Fairfax, Virginia and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
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
Keisha B. Matthews Bs Ma Lcpc Lpc Acs 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.
Medicare Billing Reassignment
Medicare enrollment records show Keisha Matthews reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vienna, VA 22180
- Reassigned Medicare billing, Virginia and District of Columbia enrollments
- Also billed through NPI 1952320061 (District of Columbia)
- 2,379 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 Keisha Matthews's NPI number?
The NPI number for Keisha Matthews is 1790080257. It was assigned to this individual provider in the NPPES registry on January 13, 2011.
Where is Keisha Matthews located?
Keisha Matthews practices at 12587 Fair Lakes Cir Ste 408, Fairfax, VA 22033. The listed phone number is (703) 957-8975.
What is Keisha Matthews's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Keisha Matthews enrolled in Medicare?
Yes. Keisha Matthews 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 Keisha Matthews's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keisha Matthews reassigns Medicare benefits to Inova Health Care Services (Vienna, VA). 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 Keisha Matthews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keisha Matthews accept?
Health plans from Oscar Health list Keisha Matthews 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 Keisha Matthews was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Keisha B. Matthews, BS MA LCPC LPC ACS · NPI 1790080257
Professional provider in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since January 13, 2011.
## Identity
- **NPI:** 1790080257 (Entity type: Individual)
- **Enumerated:** January 13, 2011
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 12587 FAIR LAKES CIR STE 408, Fairfax, VA 22033-3822
- **Phone:** (703) 957-8975
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Inova Health Care Services (NPI 1275886418, Vienna, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** June 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790080257) · Data from the CMS NPPES public registry.