Individual provider Active NPI

Zachary Khalil Khelah, LPC

  • Professional Counselor
  • Stevens Point, WI
National Provider Identifier
1730847526
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7736-226 Issued in WI
Practice address
2501 Main St
Stevens Point, WI 54481-4000
Phone
(715) 254-9072
Fax
(715) 254-9106
NPI assigned
Nov 30, 2021
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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 7736-226 WI Primary
Professional Counselor 101YP2500X A17155 NC

Addresses

Primary practice location

2501 Main St
Stevens Point, WI 54481-4000

Mailing address

400 S Townline Rd
Wautoma, WI 54982-6922
Phone (920) 787-5514

Other identifiers 2

IdentifierTypeStateIssuer
A17155OtherNCLICENSE
100284535MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251229001698 WI Practitioner - Mental Health Counselor 1557857604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3125 Main St
Stevens Point, WI 54481-3269
Phone (920) 787-5514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A17155NCMDProfessional Counselor
7736-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de Los Campesinos, Inc CurrentSince Dec 17, 2025 Accepting new patients
La Clinica de Los Campesinos, Inc CurrentSince Dec 17, 2025 Accepting new patients
Primary Connection Health Care, Inc. PastSince Jan 1, 2024 Accepting new patients
Barium Springs Home for Children PastSince Feb 12, 2023 Accepting new patients
Peaceful Solutions Counseling PastSince Jan 1, 2024 Accepting new patients

Locations

2501 Main St
Stevens Point, WI 54481
Phone (715) 254-9072

400 S Townline Rd
Wautoma, WI 54982
Phone (920) 647-8984

Organizations & group practices 5

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1730847526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S TOWNLINE RD",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549826922",
            "telephone_number": "920-787-5514",
            "fax_number": "920-787-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 MAIN ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544814000",
            "telephone_number": "715-254-9072",
            "fax_number": "715-254-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHELAH",
        "first_name": "ZACHARY",
        "middle_name": "KHALIL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7736-226",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A17155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A17155",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100284535",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.