Active NPI
Nazia A Khan, M.S.
- Marriage & Family Therapist
- Stockton, CA
National Provider Identifier
1508227158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 83839
- Practice address
- 127 N. Sutter Street
Child Abuse Prevention Council
Stockton, CA 95202 - Phone
- (209) 636-7258
- Fax
- (209) 227-7255
- NPI assigned
- Mar 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1634 | CA | |
| Marriage & Family Therapist | 106H00000X | 83839 | CA | Primary |
Addresses
Primary practice location
127 N. Sutter Street
Child Abuse Prevention Council
Stockton, CA 95202
Mailing address
PO Box 1257
Child Abuse Prevention Council
Stockton, CA 95201-1257
Phone (209) 636-7258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D5283974 | Other | CA | CA DRIVER LICENSE |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83839 | CA | MD | Mental Health Counselor |
| 1634 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1508227158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1257",
"address_2": "CHILD ABUSE PREVENTION COUNCIL",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952011257",
"telephone_number": "209-636-7258",
"fax_number": "209-227-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 N. SUTTER STREET",
"address_2": "CHILD ABUSE PREVENTION COUNCIL",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95202",
"telephone_number": "209-636-7258",
"fax_number": "209-227-7255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "NAZIA",
"middle_name": "A",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-10",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "1634",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "83839",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA DRIVER LICENSE",
"identifier": "D5283974",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.