EVERGREEN BEHAVIORAL HEALTH SERVICES,LLC
NPI 1073879177
Counselor - Professional in Rixeyville, VA

Q: What is Evergreen Behavioral Health Services,llc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since April 03, 2012

10391 GREYSON LN, RIXEYVILLE, VA 22737(540) 937-4923(540) 937-7680 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Evergreen Behavioral Health Services,llc NPPES

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

EVERGREEN BEHAVIORAL HEALTH SERVICES,LLC (NPI 1073879177) is a healthcare organization registered as a professional in Rixeyville, Virginia and active in the NPI registry since April 2012. The organization lists Bruce Charles Wyman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073879177

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameEVERGREEN BEHAVIORAL HEALTH SERVICES,LLC

Location Address10391 GREYSON LNRixeyville, VA 22737-1730

Mailing AddressPo Box 373Rixeyville, VA 22737-0373 · (540) 937-4923 · Fax (540) 937-7680

Phone(540) 937-4923

Fax(540) 937-7680

Organization SubpartNo

Authorized OfficialBruce Charles WymanCeo · (540) 937-4923

Enumeration DateApril 3, 2012

Last NPPES UpdateMay 7, 2014

✔ NPI 1073879177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701003919

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0701003919 (VA)

Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 0701003919 (VA)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 0701003919 (VA)

10391 GREYSON LN, Rixeyville, VA 22737

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Other Identifiers 1

Other01619872VA · Anthem

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evergreen Behavioral Health Services,llc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bruce Wyman, LPC, EDM, NCC

Mental Health Counselor

NPI 1821109331

10391 GREYSON LN
Rixeyville, VA 22737

(540) 937-4923

✔ PECOS✔ Accepts MedicareSame address

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 Evergreen Behavioral Health Services,llc's NPI number?

The NPI number for Evergreen Behavioral Health Services,llc is 1073879177. It was assigned to this organization in the NPPES registry on April 3, 2012.

Where is Evergreen Behavioral Health Services,llc located?

Evergreen Behavioral Health Services,llc is located at 10391 Greyson Ln, Rixeyville, VA 22737. The listed phone number is (540) 937-4923.

What is Evergreen Behavioral Health Services,llc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Evergreen Behavioral Health Services,llc enrolled in Medicare?

Yes. Evergreen Behavioral Health Services,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Behavioral Health Services,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Evergreen Behavioral Health Services,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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evergreen Behavioral Health Services,llc was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.