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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: October 25, 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Khadija Manssouri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Psychiatric Services LLC
151 mi
Psychiatry
903 W BROADWAY
Hopewell, VA 23860
  • Reassigned Medicare billing, Virginia enrollment
  • 9 clinicians in this Medicare group
NPI 1184471898 (804) 816-0151
Kl Gash & Associates LLC
199 mi
Clinical
12 MUSKET LN
Hampton, VA 23666
  • Reassigned Medicare billing, Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1699384149 (412) 401-9707

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 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.

Which organizations bill Medicare for Khadija Manssouri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khadija Manssouri reassigns Medicare benefits to 2 organizations: Ascension Psychiatric Services LLC (Hopewell, VA) and Kl Gash & Associates LLC (Hampton, VA). Each 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 Khadija Manssouri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khadija Manssouri accept?

Health plans from Oscar Health list Khadija Manssouri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 13 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.