Taleb S Khairallah, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2006020295 Issued in MO

Practice address

3301 S Providence Rd BLDG E
Columbia, MO 65203-3624

Phone

(573) 882-2511

Fax

(573) 884-5936

NPI assigned

Jun 4, 2007

Last updated

Oct 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Curators of the University of Missouri

  dba Mizzou Pharmacy - Southwest Blvd

  • Community/Retail Pharmacy
  • Jefferson City, MO
  • NPI 1740083641
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1598967242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7687",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652057687",
            "telephone_number": "573-882-2259",
            "fax_number": "573-884-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S PROVIDENCE RD BLDG E",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033624",
            "telephone_number": "573-882-2511",
            "fax_number": "573-884-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIRALLAH",
        "first_name": "TALEB",
        "middle_name": "S",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2006020295",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "335130-6004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Marie Kesterson, M.D.
• Kathleen Anne Ketchum, PA
• Brianne Ketterlin, NP
• Elizabeth Kettle, PHARMD
• Mauricio Kfuri Jr., M.D.
• Gurpreet Khakh
• Mubinah Khaleel, DO
• Nabila Ibrahim Khaleel, M.D.
• Mohamed Khalid, MBBS
• Afsah Iqbal Khan, DO

• Professional Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.