Active NPI
Mohamed O Khalif, PHD, LPC
- Professional Counselor
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 89211
- 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
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 |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 89211 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ample Counseling Services LLC | Mental Health | Current | Accepting new patients |
| Your Living Well PLLC | Mental Health | Current | 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.