Active NPI
Guruterath Kaur Khalsa, PHD
- Counselor
- Espanola, NM
National Provider Identifier
1184831000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0724
- Practice address
- 65 Sombrillo East
65 Sombrillo East
Espanola, NM 87532-0845 - Phone
- (505) 753-6241
- Fax
- (505) 988-2746
- NPI assigned
- May 17, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0724 | NM | Primary |
Addresses
Primary practice location
65 Sombrillo East
65 Sombrillo East
Espanola, NM 87532-0845
Mailing address
PO Box 845
Santa Cruz, NM 87567-0845
Phone (505) 753-6241
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0724 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184831000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845",
"city": "SANTA CRUZ",
"state": "NM",
"postal_code": "875670845",
"telephone_number": "505-753-6241",
"fax_number": "505-988-2746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 SOMBRILLO EAST",
"address_2": "65 SOMBRILLO EAST",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875320845",
"telephone_number": "505-753-6241",
"fax_number": "505-988-2746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALSA",
"first_name": "GURUTERATH",
"middle_name": "KAUR",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.