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

Khem Shepsutera

Individual provider Counselor · NPI 1417349465

Khem Shepsutera is a Clinical Social Worker in Thornton, Colorado. Qualified in 2011, 15 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2015
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Practice location Address checks out

8931 Huron St
Thornton, CO 80260-6806
Phone: (303) 853-3654
Fax: (303) 853-3656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1417349465
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 28, 2015
Last updated in NPPESFebruary 28, 2015
Mailing address8931 Huron St, Thornton, CO 80260-6806

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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