Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenna Khansa, TLLP

Individual provider Clinical Psychologist · NPI 1790203297

Jenna Khansa, TLLP is a Clinical Psychologist in Detroit, Michigan. Qualified in 2017, 9 years ago. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

62 W 7 Mile Rd
Detroit, MI 48203-1967
Phone: (313) 893-6172
Fax: (313) 893-0064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301017190 (MI)

Record details

NPI number1790203297
Entity typeIndividual (Type 1)
GenderFemale
Credentials TLLP
Sole proprietorNo
NPI enumeratedSeptember 5, 2017
Last updated in NPPESMay 15, 2020
Certification dateMay 15, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Detroit