Individual provider Active NPI

Yasmeen Amina Khan, DC, MS, MA

  • Mental Health Counselor
  • Davenport, IA
National Provider Identifier
1972745800
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
095817 Issued in IA
Practice address
415 N Perry St
Davenport, IA 52801-1617
Phone
(563) 328-5832
NPI assigned
Mar 24, 2009
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
095817IAMDMental Health Counselor
007189IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.