Active NPI
Misha Khan, LPC
- Professional Counselor
- Lenexa, KS
National Provider Identifier
1013687128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3905
- Practice address
- 8629 Bluejacket St
Lenexa, KS 66214-1604 - Phone
- (913) 677-3553
- NPI assigned
- Sep 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3905 | KS | Primary |
Addresses
Primary practice location
8629 Bluejacket St
Lenexa, KS 66214-1604
Mailing address
8629 Bluejacket St
Lenexa, KS 66214-1604
Phone (913) 677-3553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100240930 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7501 College Blvd
Suite 250
Overland Park, KS 66210-2505
Phone (913) 451-8550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3905 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Responsive Management Clinic, Inc. | Current | Accepting new patients | |
| Clinical Associates PA | Current | Accepting new patients |
Locations
7501 College Blvd
Ste 250
Overland Park, KS 66210
Phone (913) 451-8550
8629 Bluejacket St
Overland Park, KS 66214
Phone (913) 677-3553
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Overland Park, KS
- NPI 1164512562
-
- Specialist
- Lenexa, KS
- NPI 1477588085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1013687128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8629 BLUEJACKET ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662141604",
"telephone_number": "913-677-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8629 BLUEJACKET ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662141604",
"telephone_number": "913-677-3553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MISHA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "3905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100240930",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.