Active NPI
Monique'S Behavioral Health Solutions
- In Home Supportive Care Agency
- Arlington, VA
National Provider Identifier
1215634142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MONIQUE'S BEHAVIORAL HEALTH SOLUTIONS
- Practice address
- 4075 Wilson Blvd FL 8TH-843
Arlington, VA 22203-1797 - Phone
- (804) 243-6253
- NPI assigned
- Feb 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kilil Roussaw
- Title
- Ceo
- Phone
- (804) 243-6253
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4075 Wilson Blvd FL 8TH-843
Arlington, VA 22203-1797
Mailing address
4075 Wilson Blvd FL 8TH-843
Arlington, VA 22203-1797
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Baltimore, MD
- NPI 1942947114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676678400000",
"number": "1215634142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 WILSON BLVD FL 8TH-843",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 WILSON BLVD FL 8TH-843",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031797",
"telephone_number": "804-243-6253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONIQUE'S BEHAVIORAL HEALTH SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-10",
"last_updated": "2023-02-18",
"certification_date": "2023-02-18",
"status": "A",
"authorized_official_last_name": "ROUSSAW",
"authorized_official_first_name": "KILIL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "804-243-6253"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.