Individual provider Active NPI

Kerri Christina Khatib, LAC,LBSW

  • Addiction (Substance Use Disorder) Counselor
  • Lawrence, KS
National Provider Identifier
1164847927
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LAC526 Issued in KS
Practice address
1625 Saint Andrews Dr
Lawrence, KS 66047-1701
Phone
(785) 423-0007
Fax
(785) 296-0256
NPI assigned
Mar 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC526 KS Primary
Social Worker 104100000X LBSW4079 KS

Addresses

Primary practice location

1625 Saint Andrews Dr
Lawrence, KS 66047-1701

Mailing address

1625 Saint Andrews Dr
Lawrence, KS 66047-1701
Phone (785) 423-0007

Other names 1

  • Chrisy Khatib Other name

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

State licenses

LicenseStateTypeSpecialty
LAC526KSMDAddiction (Substance Use Disorder) Counselor
LBSW4079KSMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1164847927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 SAINT ANDREWS DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660471701",
            "telephone_number": "785-423-0007",
            "fax_number": "785-296-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SAINT ANDREWS DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660471701",
            "telephone_number": "785-423-0007",
            "fax_number": "785-296-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATIB",
        "first_name": "KERRI",
        "middle_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LAC,LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "LAC526",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "LBSW4079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISY",
            "last_name": "KHATIB",
            "credential": "LAC,LBSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.