Individual provider Active NPI

Mahbouchu Kelly

  • Case Manager/Care Coordinator
  • Washington, DC
National Provider Identifier
1740137231
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
6323 Georgia Ave NW Ste 360
Washington, DC 20011-1101
Phone
(202) 621-8494
NPI assigned
Mar 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

6323 Georgia Ave NW Ste 360
Washington, DC 20011-1101

Mailing address

2000 Tower Oaks Blvd Ste 500
Rockville, MD 20852-4377
Phone (301) 444-5001

Other practice location 1

2000 Tower Oaks Blvd Ste 500
Rockville, MD 20852-4377
Phone (301) 444-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gio Health Services Inc. PastSince Dec 22, 2024 Accepting new patients
Forbs Behavioral Health Services LLC PastSince Oct 6, 2025 Accepting new patients

Organizations & group practices 2

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": "1773360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1740137231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TOWER OAKS BLVD STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524377",
            "telephone_number": "301-444-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 GEORGIA AVE NW STE 360",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111101",
            "telephone_number": "202-621-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Tower Oaks Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208524377",
            "country_code": "US",
            "telephone_number": "301-444-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MAHBOUCHU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.