Al-Mustapha-El Al-Kahlil Bey

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

PRC14349 Issued in MD

Practice address

4645 Nannie Helen Burroughs Ave NE
Washington, DC 20019-3622

Phone

(202) 459-9866

Fax

(888) 316-9392

NPI assigned

May 30, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• District Healthcare Services, LLC

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1366939225
  NPD (past)
• Rebound Health and Wellness Services Inc

  • Neurology Physician
  • Washington, DC
  • NPI 1609414994
  NPD (past)
• Rebound Health and Wellness Services Inc

  • Psychologist
  • Washington, DC
  • NPI 1720451719
  NPD (past)

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1972161495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 NANNIE HELEN BURROUGHS AVE NE STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193622",
            "telephone_number": "202-459-9866",
            "fax_number": "888-316-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 NANNIE HELEN BURROUGHS AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193622",
            "telephone_number": "202-459-9866",
            "fax_number": "888-316-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KAHLIL BEY",
        "first_name": "AL-MUSTAPHA-EL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "PRC14349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE PROFESSIONAL COUNSELOR",
            "identifier": "PRC14349",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rebound@reboundhealthandwellness.net",
            "affiliation": "Y",
            "affiliationName": "Rebound Health and Wellness Services Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4645 Nannie Helen Burroughs Ave NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200193622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Elizabeth Al-Faruque, PHARMD
• Nadia Al-Hada
• Rami Al-Hader, MD
• Mina Al-Hamadani, MD
• Muminah Al-Jabbar
• Wafa Al-Khayal, MD
• Abdulaziz Majed Al-Malki, MD
• Rusul Emad Mohammed Al-Marayaty, MD
• Rana Al-Nahhas, OT
• Razan Al-Nahhas

• Addiction (Substance Use Disorder) Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Addiction (Substance Use Disorder) Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.