Individual provider Active NPI

Wajeeha Khan, MS, LMFT

  • Marriage & Family Therapist
  • San Ramon, CA
National Provider Identifier
1285807933
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97158 Issued in CA
Practice address
12677 Alcosta Blvd Ste 372
San Ramon, CA 94583-4410
Phone
(510) 697-3460
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 97158 CA Primary

Addresses

Primary practice location

12677 Alcosta Blvd Ste 372
San Ramon, CA 94583-4410

Mailing address

5026 Hawkmount Way
San Ramon, CA 94582-9188
Phone (510) 697-3460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Om Behavioral Health Corp CurrentSince Dec 1, 2023 Accepting new patients

Locations

2255 Ygnacio Valley Rd
Ste W
Walnut Creek, CA 94598
Phone (925) 378-4884

Interoperability endpoints

  • Direct secure messaging: wkhan134232@direct.whhs.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1285807933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 HAWKMOUNT WAY",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945829188",
            "telephone_number": "510-697-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 ALCOSTA BLVD STE 372",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834410",
            "telephone_number": "510-697-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "WAJEEHA",
        "name_prefix": "Ms.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.