NPIMap

Organization Active NPI

Khi Services, Inc.

  • Mental Health Counselor
  • Germantown, MD
National Provider Identifier
1376861013
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KHI SERVICES, INC.
Practice address
19530 Doctors Dr
Germantown, MD 20874-5200
Phone
(240) 686-0707
Fax
(240) 686-0711
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Mr. Roger Dean Larson, CRCCPA
Title
Chief Executive Officer
Phone
(240) 686-0707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 461 MD
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

19530 Doctors Dr
Germantown, MD 20874-5200

Mailing address

19530 Doctors Dr
Germantown, MD 20874-5200
Phone (240) 686-0707

Other identifiers 3

IdentifierTypeStateIssuer
258905200MedicaidMD
481107100MedicaidMD
801602000MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Khi Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19530 Doctors Dr
Germantown, MD 20874
Phone (240) 686-0707

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1376861013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19530 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745200",
            "telephone_number": "240-686-0707",
            "fax_number": "240-686-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19530 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745200",
            "telephone_number": "240-686-0707",
            "fax_number": "240-686-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHI SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "240-686-0707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRCCPA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "461",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258905200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "481107100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801602000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.