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KHADIJA MANSSOURI LCSW
NPI 1336010370
Counselor in Salem, VA

Active since September 15, 2025PECOS EnrolledAccepts Medicare Assignment
1801 BRAEBURN DR APT 205, SALEM, VA 24153(540) 685-7177 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Khadija Manssouri Lcsw NPPES

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

KHADIJA MANSSOURI LCSW (NPI 1336010370) is an individual counselor in Salem, Virginia, licensed in Virginia (0904019070) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336010370
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKHADIJA MANSSOURICredential: LCSW
Location Address1801 BRAEBURN DR APT 205Salem, VA 24153-7341
Mailing Address1801 Braeburn Dr Apt 205Salem, VA 24153-7341 · (540) 685-7177
Phone(540) 685-7177
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 14, 2025
✔ NPI 1336010370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in VA · 0904019070
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1801 BRAEBURN DR APT 205, Salem, VA 24153
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khadija Manssouri Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052894797
PECOS Enrollment IDI20260311002320
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 Khadija Manssouri's NPI number?

The NPI number for Khadija Manssouri is 1336010370. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Khadija Manssouri located?

Khadija Manssouri practices at 1801 Braeburn Dr Apt 205, Salem, VA 24153. The listed phone number is (540) 685-7177.

What is Khadija Manssouri's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Khadija Manssouri enrolled in Medicare?

Yes. Khadija Manssouri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Khadija Manssouri was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.