Afshan Jabeen Khalid, MENTAL HEALTH COUNSE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC-0000921 Issued in DE

Practice address

1000 Midway Dr Ste 3
Harrington, DE 19952-2448

Phone

(302) 313-1140

Fax

(800) 818-8680

NPI assigned

Mar 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DE2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Tri-State Health, Inc. 8 clinicians

West Cecil Health Center Inc. 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tri-State Health, Inc.

  • Specialist
  • Elkton, MD
  • NPI 1255409082

  DE, MD, Single Specialty

  Medicare reassignment Care Compare group NPD
• West Cecil Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Conowingo, MD
  • NPI 1366625089

  MD

  Medicare reassignment Care Compare group
• Tri-State Health, Inc.

  • Clinical Medical Laboratory
  • Elkton, MD
  • NPI 1609348325
  Care Compare group
• West Cecil Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Elkton, MD
  • NPI 1083409536
  Care Compare group
• West Cecil Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Havre de Grace, MD
  • NPI 1437697273
  Care Compare group
• Tri-State Health, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • North East, MD
  • NPI 1386407138

  Mental Health

  NPD (past)
• Tri-State Health, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Colora, MD
  • NPI 1710740576

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1790243244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MIDWAY DR STE 3",
            "city": "HARRINGTON",
            "state": "DE",
            "postal_code": "199522448",
            "telephone_number": "800-818-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MIDWAY DR STE 3",
            "city": "HARRINGTON",
            "state": "DE",
            "postal_code": "199522448",
            "telephone_number": "302-313-1140",
            "fax_number": "800-818-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "AFSHAN",
        "middle_name": "JABEEN",
        "credential": "MENTAL HEALTH COUNSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0000921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity Community Services
• Kshitij Jain, B.PHARM, MBA, MS
• Sylvia Regina Judd, N.P.
• Kapeeshwar LLC
• Kapeeshwar LLC
• Nazma Kibria
• Krista N King, LMT
• Cheryl Kugler
• Life Journey Consultant Services, LLC
• Vincent G Lobo, DO

• All providers in Harrington, DE
• Mental Health Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.