Active NPI
Runa Khawaja
- Professional Counselor
- New Britain, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4598
- Practice address
- 85 Lafayette St
New Britain, CT 06051-1803 - Phone
- (860) 224-3642
- NPI assigned
- Feb 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00310700 | NJ | |
| Professional Counselor | 101YP2500X | 37PC00681200 | NJ | |
| Professional Counselor | 101YP2500X | 4598 | CT | Primary |
Addresses
Primary practice location
85 Lafayette St
New Britain, CT 06051-1803
Mailing address
19 Grand St
Middletown, CT 06457-2705
Phone (860) 347-6971
Other practice location 1
230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000 ext. 56584
Other names 1
- Runa Khanom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 Lafayette St
New Britain, CT 06051-1803
Phone (860) 224-3642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00310700 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 37PC00681200 | NJ | MD | Professional Counselor |
| 4598 | CT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stokes Counseling Services LLC | Professional | Current | Accepting new patients |
| Community Health Center Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Community Health Center Inc | Current | Accepting new patients |
Locations
19 Grand St
Middletown, CT 06457
Phone (860) 323-0172
16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341
85 Lafayette St
New Britain, CT 06051
Phone (860) 224-3642
Interoperability endpoints
- runa.khawaja@chcict.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Middletown, CT
- NPI 1952591851
Addiction (Substance Use Disorder)
-
- Professional Counselor
- Naugatuck, CT
- NPI 1134541469
-
- Federally Qualified Health Center (FQHC)
- Danbury, CT
- NPI 1003332446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1114510609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 GRAND ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064572705",
"telephone_number": "860-347-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 LAFAYETTE ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060511803",
"telephone_number": "860-224-3642"
}
],
"practiceLocations": [
{
"address_1": "230 E Ridgewood Ave",
"address_purpose": "LOCATION",
"city": "Paramus",
"state": "NJ",
"postal_code": "076524142",
"country_code": "US",
"telephone_number": "201-967-4000 x56584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAWAJA",
"first_name": "RUNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00310700",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00681200",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "4598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUNA",
"last_name": "KHANOM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.