Active NPI
Barbara E Khan, LPC
- Professional Counselor
- Neosho, MO
National Provider Identifier
1679663587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2002010845
- Practice address
- 336 S Jefferson St
Neosho, MO 64850-1769 - Phone
- (417) 451-4565
- Fax
- (417) 455-2916
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2002010845 | MO | Primary |
Addresses
Primary practice location
336 S Jefferson St
Neosho, MO 64850-1769
Mailing address
PO Box 2526
Joplin, MO 64803-2526
Phone (417) 781-2410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183455 | Other | MO | BCBS |
Other names 1
- Barbara E Douglas
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002010845 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679663587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2526",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648032526",
"telephone_number": "417-781-2410",
"fax_number": "417-781-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 S JEFFERSON ST",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648501769",
"telephone_number": "417-451-4565",
"fax_number": "417-455-2916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "BARBARA",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2002010845",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "183455",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "DOUGLAS",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Neosho, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.