Individual provider Active NPI

Aaron B Mekhoubat, PH.D.

  • Professional Counselor
  • Chesterfield, VA
National Provider Identifier
1538266192
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002361 Issued in VA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
005400040MedicaidVA
087856OtherVASENTARA
237206OtherVAANTHEM BCBS HEALTHKEEPRS
178550OtherVACOMPSYCH
2007414OtherVACIGNA BEHAVIORAL HEALTH
342367OtherVAMAMSI
323687OtherVAANTHEM BCBS
158120000OtherVAMAGELLAN BEHAVIORAL HEALT
336110OtherVAVALUE OPTION
541834917OtherVATRICARE
7346205OtherVAAETNA HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
0717000051VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Counseling and Family Therapy, Inc Professional PastSince Mar 5, 2011 Accepting new patients
Center for Counseling and Behavioral Medicine PastSince Sep 1, 1996 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.

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.

Verify at the official NPI Registry.