Active NPI
Iman Khalid
- Professional Counselor
- Cedar Park, TX
National Provider Identifier
1124991070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 100376
- Practice address
- 3016 Polar LN
Cedar Park, TX 78613-3031 - Phone
- (512) 553-6204
- NPI assigned
- Sep 26, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 100376 | TX | Primary |
Addresses
Primary practice location
3016 Polar LN
Cedar Park, TX 78613-3031
Mailing address
1 Chisholm Trail Rd Ste 450
Round Rock, TX 78681-5094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1124991070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHISHOLM TRAIL RD STE 450",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786815094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3016 POLAR LN",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133031",
"telephone_number": "512-553-6204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALID",
"first_name": "IMAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-26",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "100376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.