Active NPI
Khalil Hakim
- Counselor
- Tulsa, OK
National Provider Identifier
1932464104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 6202 S Lewis Ave
Tulsa, OK 74136-1099 - Phone
- (918) 279-0885
- NPI assigned
- Jul 12, 2012
- Last updated
- Jul 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
6202 S Lewis Ave
Tulsa, OK 74136-1099
Mailing address
16629 S 233Rd East Ave
Coweta, OK 74429-6670
Phone (918) 279-0885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342051200000",
"number": "1932464104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16629 S 233RD EAST AVE",
"city": "COWETA",
"state": "OK",
"postal_code": "744296670",
"telephone_number": "918-279-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6202 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361099",
"telephone_number": "918-279-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKIM",
"first_name": "KHALIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2012-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000000",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.