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KEISHA B. MATTHEWS BS MA LCPC LPC ACS
NPI 1790080257
Counselor - Professional in Fairfax, VA

Active since January 13, 2011PECOS EnrolledAccepts Medicare Assignment
12587 FAIR LAKES CIR STE 408, FAIRFAX, VA 22033(703) 957-8975 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2024, Aug 31, 2023 (2 updates tracked since 2023).

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

NPI1790080257
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKEISHA B. MATTHEWSCredential: BS MA LCPC LPC ACS
Location Address12587 FAIR LAKES CIR STE 408Fairfax, VA 22033-3822
Mailing Address12587 Fair Lakes Cir Ste 408Fairfax, VA 22033-3822 · (703) 957-8975
Phone(703) 957-8975
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 13, 2011
Last NPPES UpdateJune 3, 20242 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1790080257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
12587 FAIR LAKES CIR STE 408, Fairfax, VA 22033
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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

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.

PECOS PAC ID446692933
PECOS Enrollment IDI20240529003913, I20240702000574
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.

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.

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.