Siri Simran Kaur Khalsa, LPC, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C8675 Issued in OR

Practice address

122 E 28TH St
Vancouver, WA 98663-3015

Phone

(828) 777-1962

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Lilla SSK Khalsa Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Expressive Arts Alliance

  • Professional Counselor
  • Newberg, OR
  • NPI 1962296269
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1861599292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E 28TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633015",
            "telephone_number": "828-777-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E 28TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633015",
            "telephone_number": "828-777-1962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Meadows Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970355277",
            "country_code": "US",
            "telephone_number": "971-201-1720",
            "fax_number": "503-210-9250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17250 NE Lewis Rogers Ln",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971326581",
            "country_code": "US",
            "telephone_number": "805-551-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALSA",
        "first_name": "SIRI SIMRAN",
        "middle_name": "KAUR",
        "name_prefix": "Ms.",
        "credential": "LPC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7752",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0128361",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C8675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLA",
            "last_name": "KHALSA",
            "middle_name": "SSK",
            "prefix": "MS.",
            "credential": "LPC, LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• KFKP of the Northwest
• Kanwaljit Singh Khabra, P.T., D.P.T.
• Virinderjit Singh Khabra, L.AC., DOAM
• Nicholi Hossein Khajavei, DC
• Katherine Lee Anne Khalifa
• Zahra Khambaty, PHARMD, MPHARM
• Akbar Khan, DMD
• Kashiff Khan, M.D.
• Samreen Khan, MD
• Saroeun Khan

• Professional Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.