Individual provider Active NPI

Zainab Khan, LCMHC

  • Mental Health Counselor
  • Gastonia, NC
National Provider Identifier
1780307553
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A18109 Issued in NC
Practice address
640 Summit Crossing PL Ste 203
Gastonia, NC 28054-2142
Phone
(704) 237-4240
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X A18109 NC Primary

Addresses

Primary practice location

640 Summit Crossing PL Ste 203
Gastonia, NC 28054-2142

Mailing address

2918 Gateshead CT
Gastonia, NC 28054-6401
Phone (312) 451-8066

Other identifiers 1

IdentifierTypeStateIssuer
A18109OtherNC LCMHC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address myemail@mail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241017004276 NC Practitioner - Mental Health Counselor 0648702456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Chiron-Health LLCGroup PAC ID 9739611542, 2 clinicians

Practice addresses (Care Compare)

319 E 3Rd Ave
Suite 101
Gastonia, NC 28054-0435
Phone (704) 251-9022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A18109NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiron-Health LLC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Center for Emotional Health Single Specialty Past Accepting new patients

Locations

319 E 3rd Ave
Ste 101
Gastonia, NC 28054
Phone (704) 251-9022

135 Mocksville Ave
Ste 1
Salisbury, NC 28144
Phone (207) 237-4240

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1780307553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 GATESHEAD CT",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546401",
            "telephone_number": "312-451-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SUMMIT CROSSING PL STE 203",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542142",
            "telephone_number": "704-237-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ZAINAB",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LCMHC",
            "identifier": "A18109",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myemail@mail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "640 Summit Crossing Pl Ste 203",
            "city": "Gastonia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280542142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.