Rebekah Jan Hutchins Khan, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CTB-2024-0610 Issued in NM

Practice address

4225 Montgomery Blvd NE
Albuquerque, NM 87109-1103

Phone

(505) 595-3505

Fax

(505) 581-3291

NPI assigned

May 18, 2022

Last updated

Feb 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• 505 Diagnostics LLC

  • Clinical Psychologist
  • Albuquerque, NM
  • NPI 1629810486
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1740927953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091103",
            "telephone_number": "505-595-3505",
            "fax_number": "505-581-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091103",
            "telephone_number": "505-595-3505",
            "fax_number": "505-581-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINS KHAN",
        "first_name": "REBEKAH",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2024-0610",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHD/ FORENSIC EVALUATOR",
            "identifier": "000265",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Lee Hussey, LMT CNMT
• Kathleen Husted-Odell, OT
• Shannon Husted, RDH, BS
• Jamal Antione Hutcherson
• Dawn Hutchins Eastman
• Leslie H. Hutchins, D.D.S.
• River Hutchins
• Amanda K Hutchinson, LCSW
• Curtis Lee Hutchinson, LMSW
• Eja Mone Hutchinson

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.