Individual provider Active NPI

Abbas Khan

  • Mental Health Counselor
  • Sherman Oaks, CA
National Provider Identifier
1497395396
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CMH0208951 Issued in NM
Practice address
15235 Burbank Blvd Ste A2
Sherman Oaks, CA 91411-3555
Phone
(424) 407-1414
NPI assigned
Jan 9, 2020
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CMH0208951 NM Primary
Mental Health Counselor 101YM0800X 19509 CA

Addresses

Primary practice location

15235 Burbank Blvd Ste A2
Sherman Oaks, CA 91411-3555

Mailing address

PO Box 1595
Middletown, CT 06457-8095

Other practice location 1

206 S Coronado Ave
Espanola, NM 87532-2792
Phone (860) 788-6404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM, CO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250611001613 CA Practitioner - Mental Health Counselor 8426568189 Reassigns benefits to 1 organization
I20260120003543 NM Practitioner - Mental Health Counselor 8426568189 Reassigns benefits to 1 organization
I20260224002961 CO Practitioner - Mental Health Counselor 8426568189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Blue Psychological ServicesGroup PAC ID 3678908357, 23 clinicians
Meditelecare of New Mexico, LLCGroup PAC ID 1254668122, 7 clinicians

Practice addresses (Care Compare)

15235 Burbank Blvd
Suite A2
Sherman Oaks, CA 91411-3555
Phone (310) 306-0335

206 S Coronado Ave
Espanola, NM 87532-2792
Phone 8607886404152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CMH0208951NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Blue Psychological Services CurrentSince Jun 5, 2025 Accepting new patients
Khan Counseling LLC Mental Health CurrentSince Jan 12, 2020 Accepting new patients
Family Talk Therapy Center CurrentSince Aug 3, 2025 Accepting new patients
Meditelecare of Colorado LLC CurrentSince Jan 17, 2026 Accepting new patients
Meditelecare of New Mexico, LLC CurrentSince Dec 12, 2025 Accepting new patients

Locations

3570 E Imperial Hwy
Lynwood, CA 90262
Phone (858) 883-3277

19322 Jesse Ln
Ste 200
Riverside, CA 92508
Phone (951) 387-4040

15235 Burbank Blvd
Ste A2
Van Nuys, CA 91411
Phone (949) 504-1963

1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238

206 S Coronado Ave
Espanola, NM 87532
Phone (616) 438-0737

Organizations & group practices 5

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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1497395396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064578095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 BURBANK BLVD STE A2",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113555",
            "telephone_number": "424-407-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 S Coronado Ave",
            "address_purpose": "LOCATION",
            "city": "Espanola",
            "state": "NM",
            "postal_code": "875322792",
            "country_code": "US",
            "telephone_number": "860-788-6404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABBAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0208951",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "19509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.