MICHELLE KHAN (LPCC-S) – Counselor, NPI 1083125371
Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,538 MENTAL HEALTH COUNSELOR in OH
Provider Addresses for MICHELLE KHAN (LPCC-S)
11804 CONREY RD
CINCINNATI, OH 452491072
Phone: (513) 984-1000
Type: Mailing
11804 CONREY RD STE 100
CINCINNATI, OH 452491076
Phone: (513) 984-1000
Fax: (513) 985-2182
Type: Location
4753 N BROADWAY ST STE 700
CHICAGO, IL 606404995
Phone: (773) 293-8469
Type: Mailing
3333 BURNET AVE
ML 5021
CINCINNATI, OH 452293039
Phone: (513) 636-4225
Fax: (513) 636-5211
Type: Mailing
2800 WINSLOW AVE, ML 3014 WW
CINCINNATI, OH 452061144
Phone: (513) 636-4788
Fax: (513) 803-0823
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250219003098 | I | Mental Health Counselor | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45249)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MI | |
| Nurse Practitioner | OH | |
| - | OH | |
| - | IN | |
| - | KS | |
| Clinical Social Worker | FL | |
| P S Y C H I A T R Y | OH | |
| Mental Health Counselor | OH | |
| Mental Health Counselor | OH | |
| - | OH |
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