NPIMap

Organization Active NPI

Jasmine E. Khan

  • Professional Counselor
  • Waco, TX
National Provider Identifier
1184921660
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14251 Issued in TX
Legal business name
JASMINE E. KHAN
Practice address
2121 W Waco Dr
Suite 545
Waco, TX 76707-3480
Phone
(254) 235-6542
Fax
(254) 235-6254
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Dr. Jasmine E Khan, PHDNPI 1437358686
Title
Owner
Phone
(254) 235-6542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 14251 TX Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 34737 TX

Addresses

Primary practice location

2121 W Waco Dr
Suite 545
Waco, TX 76707-3480

Mailing address

2121 W Waco Dr
Waco, TX 76707-3480
Phone (254) 235-6542

Other identifiers 1

IdentifierTypeStateIssuer
027587702MedicaidTX

Other names 1

  • Jasmine Khan PhD, LPC Doing business as

National Provider Directory

National Provider Directory

Locations

2121 W Waco Dr
Waco, TX 76707
Phone (254) 235-6542

2121 W Waco Dr
Ste 545
Waco, TX 76707
Phone (254) 235-6542

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1184921660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W WACO DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767073480",
            "telephone_number": "254-235-6542",
            "fax_number": "254-235-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W WACO DR",
            "address_2": "SUITE 545",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767073480",
            "telephone_number": "254-235-6542",
            "fax_number": "254-235-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE E. KHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-235-6542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14251",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34737",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027587702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasmine Khan PhD, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.