JENNA KHANSA TLLP
NPI 1790203297
Psychologist in Detroit, MI

Active since September 05, 2017PECOS Enrolled
62 W 7 MILE RD, DETROIT, MI 48203(313) 893-6172(313) 893-0064 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenna Khansa Tllp NPPES

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

JENNA KHANSA TLLP (NPI 1790203297) is an individual psychologist in Detroit, Michigan and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790203297
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJENNA KHANSACredential: TLLP
Location Address62 W 7 MILE RDDetroit, MI 48203-1967
Mailing Address62 W 7 Mile RdDetroit, MI 48203-1967
Fax(313) 893-0064
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 5, 2017
Last NPPES UpdateMay 15, 2020
NPPES CertifiedMay 15, 2020
NPI 1790203297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301017190 (MI)
62 W 7 MILE RD, Detroit, MI 48203

Other Identifiers 1

Medicaid3434247MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jenna Khansa Tllp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476039330
PECOS Enrollment IDI20260203001940
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.

Case Manager/Care Coordinator
62 W 7 MILE RD
DETROIT, MI 48203
Nurse Practitioner (Psychiatric/Mental Health)
62 W 7 MILE RD
DETROIT, MI 48203
Registered Nurse
62 W 7 MILE RD
DETROIT, MI 48203
Registered Nurse
62 W 7 MILE RD
DETROIT, MI 48203
Social Worker (Clinical)
62 W 7 MILE RD
DETROIT, MI 48203
Registered Nurse
62 W 7 MILE RD
DETROIT, MI 48203
Social Worker (School)
62 W 7 MILE RD
DETROIT, MI 48203
Case Manager/Care Coordinator
62 W 7 MILE RD
DETROIT, MI 48203

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 Jenna Khansa's NPI number?

The NPI number for Jenna Khansa is 1790203297. It was assigned to this individual provider in the NPPES registry on September 5, 2017.

Where is Jenna Khansa located?

Jenna Khansa practices at 62 W 7 Mile Rd, Detroit, MI 48203. The listed phone number is (313) 893-6172.

What is Jenna Khansa's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jenna Khansa enrolled in Medicare?

Yes. Jenna Khansa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenna Khansa was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.