KENAH ONE HEALTH CARE SERVICES, LLC
NPI 1396679791
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fairfax, VA
About Kenah One Health Care Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENAH ONE HEALTH CARE SERVICES, LLC (NPI 1396679791) is a healthcare organization registered as a mental health (including community mental health center) in Fairfax, Virginia and active in the NPI registry since June 2026. The organization lists Ketty M Ngona, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenah One Health Care Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kenah One Health Care Services, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kenah One Health Care Services, LLC's NPI number?
The NPI number for Kenah One Health Care Services, LLC is 1396679791. It was assigned to this organization in the NPPES registry on June 10, 2026.
Where is Kenah One Health Care Services, LLC located?
Kenah One Health Care Services, LLC is located at 11130 Fairfax Blvd Ste 202, Fairfax, VA 22030. The listed phone number is (667) 232-1177.
What is Kenah One Health Care Services, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Kenah One Health Care Services, LLC enrolled in Medicare?
Yes. Kenah One Health Care Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kenah One Health Care Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kenah One Health Care Services, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kenah One Health Care Services, LLC was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kenah One Health Care Services, Llc · NPI 1396679791
Mental Health (Including Community Mental Health Center) organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since June 10, 2026.
## Identity
- **NPI:** 1396679791 (Entity type: Organization)
- **Enumerated:** June 10, 2026
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Ketty Ngona, CEO
## Practice location
- **Address:** 11130 FAIRFAX BLVD STE 202, Fairfax, VA 22030-5035
- **Phone:** (667) 232-1177
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396679791) · Data from the CMS NPPES public registry.