Khadijah Ali, CBHCMS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CBHCMS.0102875 Issued in FL

Practice address

7901 4TH St N Ste 11046
St Petersburg, FL 33702-4305

Phone

(850) 728-7007

NPI assigned

Jan 4, 2017

Last updated

Jun 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Common Grounds Behavioral Health, Inc.

  • Case Manager/Care Coordinator
  • St Petersburg, FL
  • NPI 1124933239
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1285179978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 11046",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "850-728-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 11046",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "850-728-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "KHADIJAH",
        "credential": "CBHCMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS.0102875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA CERTIFICATION BOARD",
            "identifier": "CBHCMS.0102875",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA CERTIFICATION BOARD",
            "identifier": "CBHT100011",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alhambra Healthcare & Rehabilitation Center LLC
• Alhambra NH, LLC (Alhambra Health and Rehabilitation Center)
• Mohamed Ibrahim Ali Eltoum, M.D.
• Amatullah Delores Ali-Muhammad
• Amyn Ali
• Kimberly Donat Ali, L.C.S.W.
• Minelys Marie Alicea Marrero, M.D.
• Roxanne Alicea, COTA/L
• Alicia Billington Plastic Surgery LLC
• Alicia Billington Plastic Surgery LLC

• Case Manager/Care Coordinator in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.