Individual provider Active NPI

Anchal Khanna, MS, LCMFT

  • Marriage & Family Therapist
  • Rockville, MD
National Provider Identifier
1770870271
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCM 204 Issued in MD
Practice address
3204 Tower Oaks Blvd Ste 250
Rockville, MD 20852-4280
Phone
(904) 254-7544
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 0701004297 VA
Marriage & Family Therapist 106H00000X LCM 204 MD Primary

Addresses

Primary practice location

3204 Tower Oaks Blvd Ste 250
Rockville, MD 20852-4280

Mailing address

3204 Tower Oaks Blvd Ste 250
Rockville, MD 20852-4280
Phone (904) 254-7544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 21, 2024 through May 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0701004297VAMDProfessional Counselor
LCM 204MDMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1770870271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 TOWER OAKS BLVD STE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524280",
            "telephone_number": "904-254-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 TOWER OAKS BLVD STE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524280",
            "telephone_number": "904-254-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "ANCHAL",
        "credential": "MS, LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004297",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM 204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.