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: October 18, 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
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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jalwa Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
213 HEMPSTEAD AVE UNIT A
Lynbrook, NY 11563
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Jalwa Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jalwa Khan reassigns Medicare benefits to Blossoming Cherry Mental Health Counseling Services P.C. (Lynbrook, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jalwa Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jalwa Khan was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.