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JALWA KHAN LCMH
NPI 1609735042
Counselor - Mental Health in New York, NY

Active since January 21, 2026PECOS Enrolled
136 MADISON AVE 631, NEW YORK, NY 10016(201) 834-6051 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jalwa Khan Lcmh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JALWA KHAN LCMH (NPI 1609735042) is an individual mental health provider in New York, New York, licensed in New York (017269) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609735042
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJALWA KHANCredential: LCMH
Location Address136 MADISON AVE 631New York, NY 10016
Mailing Address1478 Royce StBrooklyn, NY 11234-5924 · (347) 652-2859
Phone(201) 834-6051
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 21, 2026
NPPES CertifiedJanuary 10, 2026
✔ NPI 1609735042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 017269
136 MADISON AVE 631, New York, NY 10016
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jalwa Khan Lcmh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860974847
PECOS Enrollment IDI20260307000287
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jalwa Khan's NPI number?

The NPI number for Jalwa Khan is 1609735042. It was assigned to this individual provider in the NPPES registry on January 21, 2026.

Where is Jalwa Khan located?

Jalwa Khan practices at 136 Madison Ave 631, New York, NY 10016. The listed phone number is (201) 834-6051.

What is Jalwa Khan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jalwa Khan enrolled in Medicare?

Yes. Jalwa Khan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jalwa Khan was last updated on January 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.