Active NPI
Kairos Behavioral Healthcare
- Community/Behavioral Health Agency
- Washington, DC
National Provider Identifier
1669098802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- KAIROS BEHAVIORAL HEALTHCARE
- Practice address
- 3106 Pennsylvania Ave SE
Washington, DC 20020-3710 - Phone
- (202) 836-7065
- NPI assigned
- Jun 23, 2020
- 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
- Mrs. Natalie Jan Bloodworth, MSW, LICSW, LCSW-C
- Title
- Owner
- Phone
- (202) 836-7065
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3106 Pennsylvania Ave SE
Washington, DC 20020-3710
Mailing address
3106 Pennsylvania Ave SE
Washington, DC 20020-3710
Phone (202) 487-3758
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.
-
- Specialist
- Washington, DC
- NPI 1942338108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678320000000",
"number": "1669098802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3106 PENNSYLVANIA AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200203710",
"telephone_number": "202-487-3758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3106 PENNSYLVANIA AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200203710",
"telephone_number": "202-836-7065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAIROS BEHAVIORAL HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-23",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A",
"authorized_official_last_name": "BLOODWORTH",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "JAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "202-836-7065",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW, LICSW, LCSW-C"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
- Sia Bintu Kaimachiande
- Kylie Kain, RDN
- Aminata Kaindaneh
- Paola Kaira, DO
- Peter Kairo
- Kairos Healthcare Services Inc.
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.