Iman Fatima Khatib

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701010420 Issued in VA

Practice address

11484 Washington PLZ W Ste 300
Reston, VA 20190-4342

Phone

(703) 443-2000

NPI assigned

Sep 23, 2021

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  NPD

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1942971619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11484 WASHINGTON PLZ W STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904342",
            "telephone_number": "703-443-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11484 WASHINGTON PLZ W STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904342",
            "telephone_number": "703-443-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5303 Lee Hwy",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222071607",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATIB",
        "first_name": "IMAN",
        "middle_name": "FATIMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naila Aslam Khan
• Yasmeen Khan, PHARMD
• Yusuf Hameed Khan, M.D.
• Samiur Rahman Khandker, MD
• Wahn Khang, DMD
• Mohammad Ali Khoshnevisan, M.D., M.B.A.
• Apeksha Khullar, CRNA
• Kidscare Home Health of Virginia LLC (KidsCare Home Health of Virginia)
• Ellen Christina Kiel, L.C.S.W.
• Alice Kim, RPH

• Professional Counselor in Reston, VA
• Providers in Reston, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.