FRESH START BEHAVIORAL HEALTH LLC
NPI 1063293082
Nurse Practitioner - Psychiatric/Mental Health in Spokane, WA

Active since October 06, 2023
601 W 1ST AVE, SPOKANE, WA 99201(509) 418-5216 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fresh Start Behavioral Health Llc NPPES

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

FRESH START BEHAVIORAL HEALTH LLC (NPI 1063293082) is a healthcare organization registered as a psychiatric/mental health in Spokane, Washington and active in the NPI registry since October 2023. The organization lists Mohamed Bah, Owner, as its authorized official.

NPPES Registry Identity

NPI1063293082
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFRESH START BEHAVIORAL HEALTH LLC
Location Address601 W 1ST AVESpokane, WA 99201-3825
Mailing Address3744 Armand DrDickinson, TX 77539-4461 · (509) 418-5216
Organization SubpartNo
Authorized OfficialMohamed BahOwner · (713) 748-5086
Enumeration DateOctober 6, 2023
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1063293082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
601 W 1ST AVE, Spokane, WA 99201

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Fresh Start Behavioral Health Llc 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 Fresh Start Behavioral Health LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1790333748
601 W 1ST AVE
Spokane, WA 99201
(509) 418-5216
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417695966
6601 CYPRESSWOOD DR
Spring, TX 77379
(346) 206-9890
✔ PECOS✔ Accepts Medicare1,685 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 Fresh Start Behavioral Health LLC's NPI number?

The NPI number for Fresh Start Behavioral Health LLC is 1063293082. It was assigned to this organization in the NPPES registry on October 6, 2023.

Where is Fresh Start Behavioral Health LLC located?

Fresh Start Behavioral Health LLC is located at 601 W 1st Ave, Spokane, WA 99201. The listed phone number is (509) 418-5216.

What is Fresh Start Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Fresh Start Behavioral Health LLC enrolled in Medicare?

Yes. Fresh Start Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fresh Start Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Fresh Start Behavioral Health LLC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fresh Start Behavioral Health LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Fresh Start Behavioral Health LLC 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 Fresh Start Behavioral Health LLC was last updated on February 14, 2024. 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.