Active NPI
Aaron B Mekhoubat, PH.D.
- Professional Counselor
- Chesterfield, VA
National Provider Identifier
1538266192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002361
- Practice address
- 10106 Krause Rd
Chesterfield, VA 23832-6572 - Phone
- (804) 717-5419
- Fax
- (804) 520-8595
- NPI assigned
- Sep 17, 2006
- Last updated
- Jul 18, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701002361 | VA | Primary |
| Marriage & Family Therapist | 106H00000X | 0717000051 | VA |
Addresses
Primary practice location
10106 Krause Rd
Chesterfield, VA 23832-6572
Mailing address
PO Box 2215
Chesterfield, VA 23832-9112
Phone (804) 717-5419
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005400040 | Medicaid | VA | |
| 087856 | Other | VA | SENTARA |
| 237206 | Other | VA | ANTHEM BCBS HEALTHKEEPRS |
| 178550 | Other | VA | COMPSYCH |
| 2007414 | Other | VA | CIGNA BEHAVIORAL HEALTH |
| 342367 | Other | VA | MAMSI |
| 323687 | Other | VA | ANTHEM BCBS |
| 158120000 | Other | VA | MAGELLAN BEHAVIORAL HEALT |
| 336110 | Other | VA | VALUE OPTION |
| 541834917 | Other | VA | TRICARE |
| 7346205 | Other | VA | AETNA HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150221000042 | VA | Practitioner - Psychologist Billing Independently | 5193040855 | Practice locations: Colonial Heights, VA; Chesterfield, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10106 Krause Rd
Chesterfield, VA 23832-6572
Phone (804) 717-5419
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0717000051 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Counseling and Family Therapy, Inc | Professional | Past | Accepting new patients |
| Center for Counseling and Behavioral Medicine | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chesterfield, VA
- NPI 1891892469
-
- Mental Health Counselor
- Colonial Heights, VA
- NPI 1750463618
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1538266192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2215",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238329112",
"telephone_number": "804-717-5419",
"fax_number": "804-520-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10106 KRAUSE RD",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238326572",
"telephone_number": "804-717-5419",
"fax_number": "804-520-8595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEKHOUBAT",
"first_name": "AARON",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002361",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717000051",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005400040",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "087856",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS HEALTHKEEPRS",
"identifier": "237206",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "178550",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2007414",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "342367",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "323687",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "158120000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTION",
"identifier": "336110",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "541834917",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH CARE",
"identifier": "7346205",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.