Active NPI
Nitin Khanna
- Mental Health Counselor
- Irving, TX
National Provider Identifier
1932938149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 94081
- Practice address
- 580 Decker Dr Ste 150
Irving, TX 75062-8198 - Phone
- (682) 999-6600
- NPI assigned
- Jul 29, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 94081 | TX | Primary |
Addresses
Primary practice location
580 Decker Dr Ste 150
Irving, TX 75062-8198
Mailing address
379 W Fork Apt 1609
Irving, TX 75039-5096
Phone (682) 999-6600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94081 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1932938149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 W FORK APT 1609",
"city": "IRVING",
"state": "TX",
"postal_code": "750395096",
"telephone_number": "682-999-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 DECKER DR STE 150",
"city": "IRVING",
"state": "TX",
"postal_code": "750628198",
"telephone_number": "682-999-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANNA",
"first_name": "NITIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "94081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.