Active NPI
Yasmeen Amina Khan, DC, MS, MA
- Mental Health Counselor
- Davenport, IA
National Provider Identifier
1972745800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 095817
- Practice address
- 415 N Perry St
Davenport, IA 52801-1617 - Phone
- (563) 328-5832
- NPI assigned
- Mar 24, 2009
- Last updated
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 095817 | IA | Primary |
| Chiropractor | 111N00000X | 007189 | IA |
Addresses
Primary practice location
415 N Perry St
Davenport, IA 52801-1617
Mailing address
415 N Perry St
Davenport, IA 52801-1617
Phone (563) 328-5832
Other practice location 1
3719 Bridge Ave
Suite 2
Davenport, IA 52807-1807
Phone (563) 344-6060
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095817 | IA | MD | Mental Health Counselor |
| 007189 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Alignment Center | Chiropractor | Past | Accepting new patients |
| Kuethe Chiropractic | Chiropractor | Past | Accepting new patients |
| Kevin Hamilton DC-PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Bettendorf, IA
- NPI 1538471024
-
- Chiropractor
- Davenport, IA
- NPI 1912299355
-
- Chiropractor
- Davenport, IA
- NPI 1659697332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1972745800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N PERRY ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528011617",
"telephone_number": "563-328-5832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N PERRY ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528011617",
"telephone_number": "563-328-5832"
}
],
"practiceLocations": [
{
"address_1": "3719 Bridge Ave",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528071807",
"country_code": "US",
"telephone_number": "563-344-6060",
"fax_number": "563-344-6061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "YASMEEN",
"middle_name": "AMINA",
"name_prefix": "Ms.",
"credential": "DC, MS, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-24",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "095817",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007189",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.