Kiesha Leona Betts, CPRS
Peer Specialist in Newark, NJ. Individual provider (NPI-1).
NPI number1134034697
StatusActive
Last updated in NPPESSep 16, 2026
Details
- NPI
- 1134034697
- Entity type
- Individual (NPI-1)
- Name
- Kiesha Leona Betts
- Credential
- CPRS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2026
- Certification date
- Sep 16, 2026
- Last updated
- Sep 16, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | 51130 | NJ | Yes |
Practice location
23 Branford Pl Ste 2Newark, NJ 07102-2711
Phone 973-623-7878 · Fax 973-623-6536
Mailing address
23 Branford Pl Ste 2Newark, NJ 07102-2711
Phone 973-623-7878 · Fax 973-623-6536
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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