Individual provider Active NPI

Pau Khan Kap

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1225527476
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10389 Issued in OK
Practice address
2448 E 81St St Ste 4460
Tulsa, OK 74137-4251
Phone
(918) 600-2966
Fax
(918) 600-2965
NPI assigned
May 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10389 OK Primary

Addresses

Primary practice location

2448 E 81St St Ste 4460
Tulsa, OK 74137-4251

Mailing address

2448 E 81St St Ste 4460
Tulsa, OK 74137-4251
Phone (918) 600-2966

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
10389OKMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1225527476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 4460",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374251",
            "telephone_number": "918-600-2966",
            "fax_number": "918-600-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 4460",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374251",
            "telephone_number": "918-600-2966",
            "fax_number": "918-600-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAP",
        "first_name": "PAU",
        "middle_name": "KHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "10389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.