NORTHWEST BEHAVIORAL HEALTH SERVICES, INC.
NPI 1023016839
Community/Behavioral Health in Jacksonville, FL

Active since July 14, 2005
2392 EDGEWOOD AVE N, JACKSONVILLE, FL 32254(904) 781-7797(904) 781-8685 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northwest Behavioral Health Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST BEHAVIORAL HEALTH SERVICES, INC. (NPI 1023016839) is a healthcare organization registered as a community/behavioral health in Jacksonville, Florida and active in the NPI registry since July 2005. The organization lists Terri D Glover, Executive Director, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023016839
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNORTHWEST BEHAVIORAL HEALTH SERVICES, INC.
Location Address2392 EDGEWOOD AVE NJacksonville, FL 32254-1725
Mailing Address2392 Edgewood Ave NJacksonville, FL 32254-1725 · (904) 781-0600 · Fax (904) 781-8685
Fax(904) 781-8685
Organization SubpartNo
Authorized OfficialTerri D GloverExecutive Director, Ceo · (904) 781-0600
Enumeration DateJuly 14, 2005
Last NPPES UpdateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
✔ NPI 1023016839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase ManagementTaxonomy 251B00000X
2392 EDGEWOOD AVE N, Jacksonville, FL 32254

Other Identifiers 4

Medicaid029591400FL
Medicaid029591401FL
Other284275FL · Hmo
Medicaid681396800FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Behavioral Health Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Northwest Behavioral Health Services, Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1306222419
2520 UNIVERSITY BLVD W
Jacksonville, FL 32217
(904) 914-8947
✔ PECOS✔ Accepts Medicare9.1 mi
Psychiatry
NPI 1083643175
4131 UNIVERSITY BLVD S BLDG 7
Jacksonville, FL 32216
(904) 737-1300
✔ PECOS✔ Accepts Medicare9.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Behavioral Health Services, Inc.'s NPI number?

The NPI number for Northwest Behavioral Health Services, Inc. is 1023016839. It was assigned to this organization in the NPPES registry on July 14, 2005.

Where is Northwest Behavioral Health Services, Inc. located?

Northwest Behavioral Health Services, Inc. is located at 2392 Edgewood Ave N, Jacksonville, FL 32254. The listed phone number is (904) 781-7797.

What is Northwest Behavioral Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Northwest Behavioral Health Services, Inc. enrolled in Medicare?

Yes. Northwest Behavioral Health Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Behavioral Health Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Northwest Behavioral Health Services, Inc., in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northwest Behavioral Health Services, Inc. accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Northwest Behavioral Health Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest Behavioral Health Services, Inc. was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.