Individual provider Active NPI

Mohamed O Khalif, PHD, LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1295299303
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89211 Issued in TX
Practice address
9304 Forest LN Ste S143
Dallas, TX 75243-6238
Phone
(469) 990-6958
NPI assigned
Jan 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 89211 TX Primary

Addresses

Primary practice location

9304 Forest LN Ste S143
Dallas, TX 75243-6238

Mailing address

9304 Forest LN Ste S143
Dallas, TX 75243-6238

Other practice location 1

195 N Grant Ave Ste 250
Columbus, OH 43215-2855
Phone (440) 260-8300

Other practice location 2

1490 E Main St
Columbus, OH 43205
Phone (614) 252-0731

Other practice location 3

5700 W Plano Pkwy Ste 3600
Plano, TX 75093-2455
Phone (469) 829-7516

Other names 1

  • Mohamed Khalif Professional 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
89211TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ample Counseling Services LLC Mental Health CurrentSince Apr 1, 2023 Accepting new patients
Your Living Well PLLC Mental Health CurrentSince Oct 1, 2022 Accepting new patients

Locations

9304 Forest Ln
Ste S143
Dallas, TX 75243
Phone (469) 990-6958

5700 W Plano Pkwy
Ste 3600
Plano, TX 75093
Phone (469) 829-7516

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1295299303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 FOREST LN STE S143",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 FOREST LN STE S143",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436238",
            "telephone_number": "469-990-6958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 N Grant Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432152855",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43205",
            "country_code": "US",
            "telephone_number": "614-252-0731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 W Plano Pkwy Ste 3600",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750932455",
            "country_code": "US",
            "telephone_number": "469-829-7516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIF",
        "first_name": "MOHAMED",
        "middle_name": "O",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMED",
            "last_name": "KHALIF",
            "credential": "PHD, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.