Mukta Kaur Khalsa, PMHC, LADAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0397 Issued in NM

Practice address

1 Ram Das Guru PL
Espanola, NM 87532-8213

Phone

(505) 699-6505

NPI assigned

Nov 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mukta Kaur Khalsa Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Superhealth, Inc.

  • Professional Counselor
  • Espanola, NM
  • NPI 1073134011
  NPD Authorized official

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1669941209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94508",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871994508",
            "telephone_number": "505-384-7352",
            "fax_number": "505-274-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RAM DAS GURU PL",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875328213",
            "telephone_number": "505-699-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALSA",
        "first_name": "MUKTA",
        "middle_name": "KAUR",
        "credential": "PMHC, LADAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0397",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CAD3416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUKTA",
            "last_name": "KHALSA",
            "middle_name": "KAUR",
            "credential": "PMHC, LADAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jot Kaur Khalsa, LMT
• Kartar Kaur Khalsa, LMT
• Kartar Singh Khalsa, DOM
• Krishan Kaur Khalsa, TLMT
• Lorena Paola Khalsa, LMT
• Sat Siri K Khalsa, D.C.
• Satsangeet Kaur Khalsa, LCSW
• Seva Simran Siri Singh Khalsa, D.O.M.
• Shanti Shanti Kaur Khalsa, MFT
• Silvia C Khalsa, MD

• Mental Health Counselor in Espanola, NM
• Providers in Espanola, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.