Active NPI
Saira Khan, LCPC, CADC, CTTS,NCC
- Professional Counselor
- Gurnee, IL
National Provider Identifier
1851708994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C10035
- Practice address
- 915 Campbell Dr
Gurnee, IL 60031-3112 - Phone
- (224) 440-2665
- NPI assigned
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C10035 | OR | Primary |
| Professional Counselor | 101YP2500X | 180012189 | IL |
Addresses
Primary practice location
915 Campbell Dr
Gurnee, IL 60031-3112
Mailing address
915 Campbell Dr
Gurnee, IL 60031-3112
Phone (224) 440-2665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851708994 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sairasial8396@outlook.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180012189 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
| My Therapist | Current | Accepting new patients | |
| Bright Horizons Psychiatric Group LLC | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Gurnee, IL
- NPI 1326722950
-
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Redmond, OR
- NPI 1629724695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1851708994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 CAMPBELL DR",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313112",
"telephone_number": "224-440-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 CAMPBELL DR",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313112",
"telephone_number": "224-440-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SAIRA",
"credential": "LCPC, CADC, CTTS,NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C10035",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180012189",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851708994",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sairasial8396@outlook.com",
"affiliation": "N",
"endpointDescription": "mytherapist71@gmail.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "sairasial8396@outlook.com",
"address_1": "915 Campbell Dr",
"city": "Gurnee",
"state": "IL",
"country_code": "US",
"postal_code": "600313112",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.
- 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.