NPIMap

Organization Active NPI

Jasmine Khan PHD

  • Professional Counselor
  • Waco, TX
National Provider Identifier
1861802852
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67048 Issued in TX
Legal business name
JASMINE KHAN PHD
Practice address
1105 Wooded Acres Dr Ste 545
Waco, TX 76710-4451
Phone
(254) 235-6542
Fax
(254) 235-6254
NPI assigned
Apr 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Dr. Jasmine E Khan, PHD
Title
Owner
Phone
(254) 235-6542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 67048 TX Primary

Addresses

Primary practice location

1105 Wooded Acres Dr Ste 545
Waco, TX 76710-4451

Mailing address

1105 Wooded Acres Dr Ste 545
Waco, TX 76710-4451
Phone (254) 235-6542

National Provider Directory

National Provider Directory

Locations

1105 Wooded Acres Dr
Ste 545
Waco, TX 76710
Phone (254) 235-6542

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1861802852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 WOODED ACRES DR STE 545",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104451",
            "telephone_number": "254-235-6542",
            "fax_number": "254-235-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 WOODED ACRES DR STE 545",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104451",
            "telephone_number": "254-235-6542",
            "fax_number": "254-235-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE KHAN PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-235-6542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.