John Michael Hamed Kharrazi, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

83553 Issued in TX

Practice address

1601 N Anglin St
Cleburne, TX 76031-1835

Phone

(817) 558-1121

NPI assigned

Feb 24, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Pecan Valley MHMR RegionGroup PAC ID 4688627706, 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.

• Pecan Valley MHMR Region

  • Community/Behavioral Health Agency
  • Granbury, TX
  • NPI 1891915708

  Professional

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional, TX

  Medicare reassignment NPD
• Pecan Valley MHMR Region

  dba Pecan Valley Centers

  • Primary Care Nurse Practitioner
  • Cleburne, TX
  • NPI 1285342295
  NPD

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1801542246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N ANGLIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760311835",
            "telephone_number": "817-558-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N ANGLIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760311835",
            "telephone_number": "817-558-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHARRAZI",
        "first_name": "JOHN MICHAEL",
        "middle_name": "HAMED",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "address_1": "1601 N Anglin St",
            "city": "Cleburne",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760311835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandria Kerbel
• Kyle Joe Kessler, APRN, PMHNP-BC, RN
• Brenden Ketchem, PA-C
• Shoaib Khalil, M.D.
• Mohammad Shahbaz Khan, MD
• Mina Kiani, OD
• Kim Barker DDS Corp
• KJ Quality Care LLC (Caring Senior Service)
• Steve Kline, PMHNP
• Shellabi Akwi Koffi, FNP

• Professional Counselor in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.