MEDICARE: MICHELLE KHAN LPCC-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	E.1800826-SUPV	OH

General Provider Information

NPI Number	:	1083125371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE KHAN LPCC-S

Provider Business Mailing Address
First Line	:	3333 BURNET AVE
Second Line	:	ML 5021
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3039
Country	:	US
Telephone Number	:	513-636-4225
Fax Number	:	513-636-5211

Provider Business Practice Location Address
First Line	:	2800 WINSLOW AVE, ML 3014 WW
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-1144
Country	:	US
Telephone Number	:	513-636-4788
Fax Number	:	513-803-0823

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2017
Last Update Date	:	01/29/2026

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Directions to “ MICHELLE KHAN LPCC-S” Practice Location

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