Jenna Khansa, TLLP
NPI 1790203297ActiveIndividual· Psychologist· Detroit, MI
Psychologist (TLLP) in Detroit, Michigan, licensed in MI, with an NPI issued in September 2017. Enrolled in Medicare as practitioner - psychologist billing independently.
Overview
| NPI | 1790203297 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | TLLP |
| Sole proprietor | No |
| NPI issued | Sep 5, 2017 |
| Last updated in NPPES | May 15, 2020 |
| Certified by provider | May 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Psychologist, Clinical | 103TC0700X | 6301017190 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychologist Billing Independently (MI) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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