Individual provider Active NPI

Aicha Cisse

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1356951966
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
109744-01 Issued in NY
Practice address
1325 Quincy St NE
Washington, DC 20017-2615
Phone
(203) 613-4266
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 109744-01 NY Primary

Addresses

Primary practice location

1325 Quincy St NE
Washington, DC 20017-2615

Mailing address

1325 Quincy St NE
Washington, DC 20017-2615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310004094 MD Practitioner - Clinical Social Worker 6103309927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9627 Philadelphia Rd
Suite 160
Rosedale, MD 21237-4154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109744-01NYMDMental Health Counselor
26602MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Health, LLC Single Specialty CurrentSince Feb 2, 2026 Accepting new patients
Thrive Behavioral Health, LLC CurrentSince Feb 2, 2026 Accepting new patients

Locations

1114 Benfield Blvd
Ste G
Millersville, MD 21108
Phone (410) 780-4320

9627 Philadelphia Rd
Ste 160
Rosedale, MD 21237
Phone (410) 780-5205

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1356951966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 QUINCY ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 QUINCY ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172615",
            "telephone_number": "203-613-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISSE",
        "first_name": "AICHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "109744-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.